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No'L ��l /�%�� J CITY OF EVFRETT RD6R� N° B 3 r7.1 <br /> APPLlCATION FOR WATER SERVICE <br /> FIXEC DATE_��`�10:� <br /> � DEr0f1T s �I �C� No0_ <br /> fERVICE (�rwoD�u�1 "=-��� � � ��/ ` � BLK.. LOT ADD. -- <br /> i / !' <br /> OWN[ / CONTRACTOR <br /> ;� �� �� � 77�s6- <br /> INSTAL E'FERED SERVICE__— � <br /> I MERElY APPLY FON TNE USE OF WATER IN ACCORD�NCE WITH THE ^ <br /> ORDINIINCES AND POLICIES OF TXE W�TER DEPARTMENT NOW E%IS'.ING � <br /> OR AS S�ME MAY BE HEREAF7ER CHIINGED, aarv[o:X _ �ay-�l� — - - --- <br /> MAT[11��L� � IN. 1 IN.� t IN. I P11��E j �MOUNT <br /> r�rE _ COPPER-•GALV.•-STEEL _� —� <br /> CORrORAT10N � � . <br /> CURS COCK OT � <br /> SERVICE SOX PLAST�C -- C 1 I <br /> METER VALVE ___ —_ __ <br /> MET[R No. TYPE: I ?+ _ __ ___ __ <br /> METE11 SOl( CONCRETE SMALI. LARGE <br /> _ _— —_—�_L� <br /> — I i I <br /> —1— <br /> I <br /> _ __I— �_ <br /> I I <br /> � ON �/ � <br /> DATE INSTALLED: q��g��� � OFF ��y SUB TOTAL <br /> I <br /> COD[ � L��011 I1ND EOUIPMENT 11ENT�L NOU11e II�TE <br /> ��I L __ <br /> I I _ <br /> I I _ <br /> - — I _ _ <br /> I __ —_ I <br /> I � <br /> TOTAL <br /> REMARK3: �PCL���'p ?� 7•-2 _ — -___ <br />