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��� <br /> ay <br /> � y `� rJ t <br /> � :,, � , . � No 7r102 <br /> �rr�. /�P CITY OF EVERETT oaoer+ <br /> No. ����`yU APPLICATION FOI� �'J�TER SERV l,t I 7 c//��^ <br /> � y ''U � /�•�'' L,J f)ATE '��/__./✓ __ 1B __ <br /> �XED <br /> "i1 �i 'i1 T(� (� '( A (� p �N.O. <br /> �j � r � ❑EPOSIT �'_ f`r f ��ll'`�V�_�"7.�. No.-- -_'_ " " _' _L_-- <br /> � �,�, � � � ,( ,Q OLK.._ LOT�L_ _AD�f'�L(L�/�(J.ty-�. <br /> O H ���---yyy SERVICE �or woon1��n-l.J-��/J�I� �� �-,/� �/ -��-L-� -- �'�"' <br /> HI�7 ��lL.�-/-i.'_+""LCL/_-____ '__CONTRAGTOR_--. . _ _ _ _ _- _ _ _- _- <br /> �� � OWNER— _ <br /> H C !r /� FLAT . _____ _ _ <br /> 2.' H � INSTALL�-��-�-- RE RV�GE_-. . ���fl/,� <br /> �i y I MEREBY APPLY FOR TN US OF WATEN IN �CCOR�ANCE WITH TNE , /""�-"�'�/LI��y���� . <br /> Z OR�IN�NCES AND POLICIES aF TI:� WATEP DEPAFTMENi HOM' E%ISTING 1 � //J� � <br /> H H emnco:JF N�'/ <br /> y OR AS S�ME MAY BE HEPEAiIEF CN�NGED __�G�--�J— pRICE � 6MOUNT <br /> gF'� NATENUlS I <br /> �y i <br /> �5� COPPER.. GALV.-- STEEL _ ' . �--- -- <br /> i �H. l <br /> �.i PIPE _ -_ _ _'- ' _.-_"_ _ _-1 <br /> IN. <br /> _ .- �' <br /> y O y CORPORATION . � - -- �.,-- ' �' - '- <br /> _ <br /> ___ .. .__ -_ _ I_- I , �. <br /> ' _' ._ -- <br /> GURB COCK �T _ _ . ._- � � - - - I ---� i - <br /> � <br /> i <br /> PL�STIC �� G I � � - --' - --- <br /> SERVICE BOX I _ I <br /> METER VAI.VE - �� � I . —�� — -� -� - <br /> � METER No_/Q 0_a--l. TVP[�,pPTNp X . . _"{_'- ,_ -_ _-_.__ — <br /> ,��i METER BOX_ CONCRETE SMALL IARGE _ ____�. - -- — <br /> __ . .. '. �� � - . _ . ' —_ __ <br /> __. .__ ... . . _ _ . - -�_—I___ - ._ _ — _.'- <br /> —___ - � <br /> ' I I _. _ _ - _ _ <br /> I �� . _. �I _"_- _ -- ' <br /> __�------_ __-�- _ � _- _ <br /> ' ._ .I.-_.._ . . .___ _ . <br /> I ' 1 _ . .__. � I j+[`I ON <br /> I- OFF SUB TOTAL <br /> pATE INSTALLED: (� � - S j �7 <br /> J wour.s n�*c <br /> Ld00R .� O C ✓MENf RENTAI <br /> COOE I <br /> . '__ -_ <br /> ��I'i -�2�3Q---- - - - -- <br /> _ ---- - - --- - - - -- <br /> ----- <br /> - - -- <br /> NO AC�iON ,- - -- - - <br /> _— —---- - — - - — i _. <br /> =1 1 ._ ----�---- � --WIII-Ue tax�Tf-o�s�rvltc - ---- - — <br /> , ___ . - -_ . _ _applicatiuns-wi�ha t-.a_. <br /> — - <br /> -- . . 6eckfiow Prevr�•aion Consulla:ion —__- - - -- <br /> ..- �-- — - --- ---- - - - <br /> _ . . __ . _ . __. _ . _ . - --- -- � <br /> TOTAL <br /> REMARKS: J:.� i__<C�� -�_/ ./[Y�__ ___ . -_ -_ .______ . . _ ._�_ <br />