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ArPL.���� , / SGNVICE <br /> No. [J CITY OF EVERETT OROER I�I° B O 5 O <br /> �ED / � n^CTIPPLICA�IZ F�OtR WATER $E/�l�a o�TE�G���D— <br /> ,y� <br /> n �s NG __� -� <br /> � ceronr s � J N o. _ <br /> � --z��--��-�5� �E��� <br /> sERVICE (w�ooeun �1 BLK.. LOT�ADD. <br /> OWN[R � � � �5,�lL(d,�/ —CONTRACTOR _ <br /> F <br /> INSTAL ETER � VICE—_ _ <br /> I NEREBY APPLY FO T[-l15E-Oi�-]YJIEE IN ACCORDANCE WI7N THE <br /> ORDINANCES AND VOLICIES Of TNE W�TER�EPARTMEN? NOW EXISTING <br /> OR AS SAME M�Y PE HEREAF7ER CN�NGED. •IGr+Eo: % -____ _.__-______ ._ _ __ <br /> MAT[I�IAL{ � IN, 1 IN. � 3 IN. � I r1110E ' 11MOUNT <br /> r�rE COPPER•-GALV.••':TEEL <br /> __' _-_ __ LI—�� ' __' <br /> CORPORATION _I I <br /> CURS COGK OT � I <br /> SERVICE BO% PLAS7IC - C I _ I _1 I_ � _ <br /> METER VAL.VE � <br /> METER No. I/(' / � TVPE �C/J��,.�{ .S —_ �--_ __ _-__ --___- -_- ___- <br /> METER BOX CONCHETE SMALL IARGE �� I I <br /> __" _-' --__I i ____ ___ _ <br /> __ ' _I_I—I__.'_ <br /> - _I' �_I_ _ <br /> __i �f_ - i <br /> — _i I I— � <br /> DATE INSTALLED: LJ_ l�_9 (� I �OpF Z/ = SUB TOTAL <br /> / C <br /> CO�[ � L�l1011 AND EOUiPMENI RENY♦ MOU116 MTE <br /> I / <br /> I "—_" `' --I <br /> I I <br /> — __ —_-" "_—�A!-�/IIUI, I — ___— <br /> � -_ --.—_�ii��'�{Ef{I-AR-S�WIC9-I <br /> j _ aonlications without a <br /> I Backflow Prevention Con:�ltatio <br /> TOTAL <br /> REMARKS: r�(,� d''�/�O / __ - <br />