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APPL. ^ �Z� <br />No, L � CITVOFEVERETT ORDCR�N° %%22 <br />APPLICATION FOR IY�TER 5[RVICE / (7� <br />�Eo ����I.}'�� o�re.L��7./��_ io— <br />� oc►oeir s_��J T� �'�15 ��%��C7__%.�����{.� I 9� w. o. <br />i i . NO. _ j .. - <br />� D[RVICEqreoneOnl+L���',,-�1_,./,�,l�.(_/ /�_CJ n�K..---�o�Y _noq�jii��'>,�.� <br />OWNER _���-t�C./_�G/-'1�1/-_.__ _GONTR�CIOR-'____ _'.___ _ _._ <br />IN6TAL���//FLAERED VICE-_._. . _ . _____'_____ _ _. ._ ___ � - <br />1 N[IIClY APPLY fOP iNE USC Of WA1ER IM �CCOPp�MCE WIIN TNE <br />OIIDIN�NCES AMD PoIICiES O� TNC W�TEP OCIIRiM[IIt MOW C41511NG � <br />OX AS 5.1YE YI�Y OE IIIRGfICF CN�XGCD •Icrv[O�. ����r(�l�.G/� <br />r��' <br />� V �H. � I I. 1'I�ICC . �MOIINI <br />1 IN <br />PIPE COPPEF-G�LV...STEEL ._.I___�..I- , I <br />CORPORATION_____ _ _'__ ... - --- <br />CURB COCK OT � � � � ��---'�"� �, -_��.. .. ... � "-- <br />SERVICE 80% PL�STIC .. C I �� I ., --�.--� � � �- � <br />METEH VALVE i � -- --- <br />METER No. �0 (���_ - TVPE��PTIN� ' .X . __I__ <br />/L I..._ <br />MET�q BOX CONCflETE SMALL LARGC <br />. ___ _ . . . ..-I_� _ -_� _. <br />_ __... . _. �.-_ _ . ..I __ <br />_—__-_ __- _ . .._._ _- _I.- ." � __ <br />-- __- _ � <br />� <br />— — . __ .-. - __-___.- I . <br />�l ON <br />D�TE INSTALLC�: %- /- CJ3 I � pFF SUB TOTAL <br />COOf 'i L1oOP 1NO LOIIIIM[N! R[NTAI •11[ <br />� ' <br />— ��9�'----- � <br />-- — _-- � — — <br />— ----- _ <br />----- - -- --- <br />---- -- _ - - I - - - <br />� - - - - NO ACTION j --- -- ---�-- --- - �-- <br />-- -� --- -- �------- -- -- - -- <br />� - --- - ---- - - - � --- <br />__�__. _ __ _ _ Wiq be taken on se�iCO <br />, �nnhcatinns witheuC a - -- - - — <br />NEMApN9 . �"' <br />-- CsSCs_�L�� .�jJ E5 — --- <br />