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�r7 <br /> �n <br /> >y <br /> A�H <br /> ay� <br /> rri >3 1�' -�.-, � „s�� :i�i; <br /> HzH . -- I. .. fi' ERVICE �_ 6965 <br /> K n APPL. /-''�I ��_f�� CITY OF EVERETT -� � '� ° <br /> �-?�7 No. v �. I 6RDER <br /> O H y APPLICATION POR IVATER SER\'ICE �/ � ,.,�/y�/, <br /> y ��tH„ �.� FIXED / ` DATE__.��"—�18�1 <br /> C7 O F7 � DEPO5IT q�'-1L�J ._'" No�__ ". <br /> �3 t7 I �/' / —�if�f pGUn;cc�— <br /> � �g SERVICE Ior noGn[tU-"-(L�v� _/�J�L�/.� J�-"-"----BLK.._LOT_(f1�ADD._L�"��rQ�- <br /> G]� C) / - � _,t.� <br /> G ��-�`_ � Lr�C _ .__-__GONTRACTOR_. <br /> 2 !-�3, OWNE - _—_ - __- <br /> 3�� LA 4 <br /> ay`C] INSTALI���M REtr3ERVICE_�� � � _I��_�.---- <br /> r H y I HEflEBY APPLY FOR THE USE OF WATEF IN ACCONDANCE WITM TNE ��, ///���/� /p� � <br /> � <br /> OPOIHANCES AND POLIGES OF T{'O WATER �EPAq7M:Ni NOW EAISTIHG �]' 1 n/. � ` ��) Cp / - <br /> � �� Ofl AS S�ME M�Y BE NEREAFIEN HANGED 9IcnEG: X / ,�,_ryL'_�- �7 (,�'(C .Li. _ <br /> � �C MATER1115 I � IN.' 1 IN. � 2 IN. � I � PRICE �I /�MOUNT <br /> � y� PIPE _ COPPER-.GALV._. STEEL . �I 'i .�.... _ . __-� <br /> H O� GORPORATION -� � --r�—_�-��� - - — <br /> "_ . ____. "_ ___ ___ __-_ .' _-_'__ ' <br /> GURB CUCK OT �� <br /> SERVICE BO% PLASTIC -� C I I I <br /> METER VAWE _ _I _ _ <br /> METER No. TYPE • I _ __ <br /> '" "�� METER BOX CONCRETE SMALL LARGE _ ___ _I_ _ __ <br /> �� � � <br /> — ' _'___ . , I __ _-_ _ <br /> �'. ; - __ . —I _.- __ _ <br /> ..:. �• -_ '—__ .___- _ . . -- -- -1 -_ I _ I ._ _ _. ___ <br /> —i - _ __ <br /> � � � . . . . . � � . <br /> � - -- -- �--�------- <br /> ON I <br /> ! �ATE INSTALLE�: � ���//� I � OFF SUB TOTAL <br /> � -��! COOE I L100R ANO EOUIPM[N!`HCNTAL ' NOIIRS qyT[ <br /> ��L G ---- - - ! <br /> E 'j -- - - --- -- <br /> � �i —i -- -- , - - -- <br /> -► --- - -- - ---- - - -- - - <br /> i I <br /> — - -- - --- -- ----- - - -- -- <br /> i � <br /> TOTAL <br /> REMARKS: _.. 1 C'1���=) _ � � O�/ �_ ___. . _ .. . <br />