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No'�' ��t �:JL� / CITY OF FVERETT ORD[RE I�1° 6584 <br /> APPLICATION FOR WATER SERVICE Q� <br /> FIXED DATE—__���_fY�.L1 <br /> � D[POiIT �__S�� No�_ <br /> �� �[�Q <br /> fE11VIC[ 1w�oDRo�l—T!) /�� �� ��BLK.. LOT__ADD. <br /> c: <br /> OWN6 �� � _CONTRAGTOR___ <br /> IN6TALL��M[ RED ![RVICE_-- <br /> 1 NERE�T �►►LY FOII iME USE OF W�TER IN ACCORDIINCE WIiN THE <br /> ORDINIINCES 11ND ►OLICIES OF 7ME W�TER DE�Al1TMENT NOW EllISTING �y <br /> OII AS S�ME M�Y !E NEIIEAFTEX CN�NGED. naHEo: X . .__ 'J��___ <br /> MAT[R111L� 1L IN. 1 IN. � 3 IN. � •111C[ IIMOUNT <br /> rlrE 3 p6 pb y'� CO�PER•• GALV.-•STEEL � � <br /> OR I LZ_ — —� <br /> ��R �--� flo 9Ss�7 � <br /> !�[I:VIC[ �Of( PLASTIC -• C I I <br /> M[TEA VALVE <br /> M[T[R Nr. -------��_�—TYPE: ���— -I •f — -- �— — -- <br /> M[TE 001 !1E E�� 9MALL LARGE <br /> -1--- <br /> /4�LM .�yCbD3�{7 ,3_ � --- -- — <br /> --c'°''` 3 tn�2�7 __� _I_ <br /> 3 Do'13y7 Z _I <br /> _ v y7_ - L—I �— . <br /> 5 (' 4�r fj/atlE _ �G � <br /> � � <br /> � ON <br /> DATE INSTALIED: �—� �� I �OFF SUD TOTAL <br /> COD[ I LA�011 AND EOUVMWT pENTAL MOUIO MTC <br /> �I "7,� , — S, �� Z <br /> � K•.1tcn,e I_� _ <br /> i �• S "se I y <br /> ; -- — --- ���y --- <br /> i — i 3 I_ y <br /> —� - -- 3._5�5, , _ <br /> v <br /> � -f z <br /> TOTAL <br /> REMARK3: <br />