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r� M <br /> ���Fj <br /> ❑>�1f+ <br /> Cy�� <br /> H�H <br /> K a <br /> �a�Pa <br /> w��i� <br /> .�ty <br /> p H <br /> ��g <br /> Q. � / <br /> Y N� APPL. � � (p 7� CITY OF EVERETT sr.N+icc No 7 4 9 7 <br /> �M] No. ORDER <br /> APPLICATION FOH WATER SERVICE <br /> �"�' OATE �- 7___ ___-19p_�. <br /> ��y ❑ FI%ED _� Tb PQSTINf__3 z�( �f �j <br /> r _ _ _ _ <br /> � DEPO5IT f `Q� {l I/ �/J Na�_.__" __'_ - <br /> �]�p �� � ? �3-T .(�.e SE BLK.-_--LOT�_ADD.I���'���� <br /> H O N 9ERVICE ter wooncu�—�l'��--. - ��T <br /> r `/ / <br /> - ... OWNER—�._T E� -�-_jSY:�2GC _CONTRACTOR --___'_._—'_ <br /> _�S'�y..-_ FL�.L.�'—� <br /> INSTALL� �—�ETERED SERVICE_�_ _ _ . --- ---- --- � - ---- --- ---�— <br /> I HEREUY APPLY FOR 7HE USE OF W�iER IN ACCOPOANCE WITH TNE �� � <br /> OflDINANCES AND POLICIES OP TNE WATEfl DEPI.NTMEHT NOW E%ISTING <br /> OR AS S�ME MAY OE MEHEAFTEP CMANGED. nwr+[o: Y ._ _ _ _ . _ _ _ _ __. _ <br /> HGIERIALS � W IN.j 1 IN. 3 IN. � I PRICC I .�MOUNT <br /> PII'E GOPPER��GALV.-� STEEL I�-I _ _I`_ ���_ I <br /> _____._ _. __ . _- '__- . _.. _ . - . . _- <br /> _ I ___ <br /> CORPORATION __ _ I I I ; __ _ _ <br /> /� _- _-.-_'-__ _ _- _ . ...._. -I__ ____f - _ '_.. <br /> � � CURB COCN OT ..___-____-_-_" . -._- _�_I_-_I_ _ _-_ _ ' <br /> _ � SERVICE 30X PLASTIC -- C I I �; <br /> 4 � METER VALVC /_ '� � ^T I _ <br /> 1' '�� METERNo. L��F�/.__ TYPEI'0�/�j/,vi �,�I _ _�1—_- . _�__- . __ -_. <br /> I <br /> - -_ _ �� �w/LC.. <br /> . ,_ ,_- __i__._ <br /> � METER BOX GONCRETE SMALL LARGE I i _ _ _ _ <br /> - , . _—"_.-_ - <br /> _- - __ " __. . _ -_ _ ._ __- I. __I__I_. __-__ _ '-_ <br /> � w � � <br /> I �.,�I ---- -_ _ - — — --i --�-- - -- -- <br /> — —I ----I—' <br /> -- ----'-- - - - <br /> —-- <br /> � , , <br /> ���-• ' _ _ - - � � — , - ' - !-- -- - -- — <br /> 1'�' _--___" - . --- � <br /> , DATE INSTALIED: � �//� �Y I � OFF SUB TOTAL <br /> � _ <br /> I COOE ,' LABOp I�NO EOUIPMENf PCNThL � NOI1N5 N1TE <br /> ���� <br /> � � /�,�e G Z . _ . . _. . . - -----I�--� - --- ---- — <br /> -- ----- � ---- <br /> -- — ---N4�:CIIG�! --- -- --- <br /> �_'=� —� --_� —'___ ...__ _--- __ _ Will_�E�lk��a-c-rst — -_— <br /> applications �y';�l1 ��a <br /> —Backf��w prever�tion $— <br /> � ----Cor ultata�n <br /> -- ---- � ---- ---. _ . . . __ . . . __ .-_ . . ..___�__.. --- ---- �-�— <br /> TOTAL <br /> I <br /> REMARKS: �`i . /I DA I Q s�7 .. . .- . . _ <br /> — k.�(�,L`1L` "_- - - . - _ _ ._. _ "__- _ --_ <br />