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xr7 <br /> �>ti <br /> C�H <br /> CAxN <br /> yzH <br /> K HLi1 APPL. /�rJ (!/t_� BERYICE. <br /> r CITY OF EVERETT pRDER �\° (� � Ei 4 <br /> '�zJ �H N�� � � APPLICATION FOR 6YATER SERVICE � cy <br /> y z� �. F�xEo TO PQSTIN .r, �l. "7 ;�.:�� TE��U'U __18 ID <br /> � H C -.,,r �❑ oerosir s ���) �S'!-- w o. -- <br /> Nn._ <br /> O H �t �'y� �\i�5 F l[�1+�� <br /> � �o � � . L1-I . S�_ �F'tm�� " <br /> SERVICE �ernoon[�n._Cl�'3�- _ _/'s -- ---- —BLK..�-LOT-.�-/-ADo-' <br /> 49� C� . <br /> i � � <br /> H Q � / i i " ' <br /> ZH3 OWNER��L- '��P'�-`�S�-_L�I_LUC�L4LC�-CL•.-'� GONTRACTOR -- — __--_-._- <br /> a yt��� '/ ��r FLJCf.? �7 (j(.� <br /> r �..�y INSTALL����•!lYCR£D'SERVtCt..- � / �-I__/- �___ _ -_� _ _ .- <br /> �_—___ <br /> � � I NEFEBY APPLY FOR TNE USE OF W�TER IN �CCORD�HCE WITH THE {/:a <br /> d� Ofl01NANCES AND POLICIES OP TME WATER DEP�RiMENT NOW E%�STING ;� �';�,7�� _ /1�/Q/�t / � <br /> � OR AS SAME MAY BE NEPEAFiER CNANGED •tcnED: % 4✓ (� ��1i6�f� _ <br /> � �1..1 Si IN.'� 1 IH. 2 IN. I PNICE AMOUNT <br /> I L MGTCH1616 I <br /> • <br /> H O V) PIPE GOPPER.. GALV.-.STEEL _ . .____ _ ___'_ - <br /> __-_-__-___-___—__ _ __ - ; "" ' " �. I _ _ � <br /> CORPORATION -"-I- --- "" -^� -' -- <br /> "_ " '-"-_-__-� _ <br /> -._. _." "__ . ___ �___'- I <br /> -_� <br /> _GURB COCK _. OT_ _ _ ' . _-__ . 'I � —�-_ __._ _'_- -_-_ <br /> SERVICC �O% PL�57'IG - G I _ _ I �_ I _ _ <br /> METER VALVE ' I_� __----' -- ---- <br /> -__ i <br /> METER No. TYPE � � � . _ -- <br /> 'w � - - . _._ � <br /> - __I__-I . " _ <br /> .�.,�I METER BO% CONCRETE SMALL IPFGE _ <br /> — I <br /> __ I I <br /> . _� .�1�. _ _ . __ .__. _ <br /> � •�' _-_ __ -_ - _. "_. �_—I �_�I___- _.— -._ <br /> . . a� -_ __ . _ _-_I._._-I --i-_-_�- - "-__ — <br /> �~ ' I _._ ___- _- -__-. _ ._ _ ' . -_�_- _—I� --_ _ ' <br /> � ��� <br /> / N <br /> d`� OATE INSTALLED�. � b / I I�I / I �FF SUB TOTAL <br /> -6'� COOE 'i r L1100R AN�EOUIYMCNf PCNT/�L i HOUPS P�TC <br /> �� � . . _ .__ . . I _. <br /> i Ss S o _ <br /> c i i _____ ___ <br /> --- - -- <br /> ---- - -- _— <br /> — i <br /> --- - - — - <br /> - ---- — � <br /> ��-� __ _- -----_- --- -- _ -- — — <br /> — -- - - <br /> ' � ----- - - -- -- <br /> ; - - ----- I <br /> - - -- <br /> -- -- - - -- <br /> , -- -_ <br /> — TOTAL <br /> REMARKS: . � C/`!✓�_ _ . . ��� ._ . ___ . _'- -.'_ <br />