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% t(p - l I 9� �O b�/ —77$� �j <br />StH'lICE AIQ 7� p A <br />� �APPL. ^/��a�f CITV OF EVERETT ORDER iv � �`� <br />�NO. , p% / APpLICATION FOR WATER SERVICE � <br />❑ dU TQ !'�CTI�1G � � c - o.,Te--3 --ia� <br />Fixeo / ' <br />w. o. <br />❑ oErosir �(�� No.— <br />\ ![RVICL't�,�r�qooRpo.�" ' `a✓��� �� BLK.. LOT�-.ADD. <br />INfTALL �� METEREO ERVIG� --- <br />I MERElY APPLY 1' W11TER IX ACCORDIINCE WITN THE <br />ORDIN�NCES AND POLICIES OF THE W�TER DEPARTMENT NOW E%ISTING .'GHED: X. <br />OR 115 SAME MAY BE MEREAFTE� CHANGED. <br />M�T[111AL{ 1G IN. 1 IM. i 3 IN. <br />P��E COPPER •• GALV. -- STEEL �_ <br />CORrO1�ATION — ,— <br />I <br />CURC COCK OT ___.--- — — <br />fERVICE SOX ___ PLASTIC -- C 1 _ I— <br />M[TER VALVE ____ <br />MRER No. __ <br />M[TER BO% CONCRETE <br />TVPE: —___'__. I_ �4 <br />$MALL LARGE <br />� ON <br />DATE INSTALLED: �_ � _ 4 � OFF <br />COD[ � Ll1l01111ND[OUIPMEI�f ENTAL <br />� n . _- --- <br />/v`�-- � _ <br />� --���� -- <br />REMARK3: <br />��� <br />NO ACTION I <br />Will be taken on service � <br />.�nnliratintl5 W�t�K`llt � I <br />SUB TOTAL <br />NOIIR! I ��TC <br />