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� �'� ��' . <br /> C � H NOPL 2�/�/�j CITV OF EVERETT '������-` N° ] G O 4 <br /> oaoea <br /> � y y APPLICATION FOH WATER SERVICE �/� �� 19 — <br /> H �9 S I%ED / / �)(' DATE_ f� <br /> ! � <br /> y 7 H i' -I e �C W.O. <br /> K' y � DEPOSIT ('^ No.— -- <br /> ❑ s� ,.7—T_� ��S7�i��-1--�1��—Ly-- /7 .�� //, Q <br /> C __ — <br /> � V7 H SERVICE ISY ADOPE��1-��/-��---`-�l-�J���--BLK...._ _ _LOT�./--ADO . //LlL:7C��1 <br /> H t' ` n\ '91 Q�/�////�M�7� /J <br /> �j O � OWNER���/-l�-'J-JLGiIl.-___--. -CONTRACTOR _-_ __ ' -_. _ __ _.- - - ____ _ - <br /> y �y � /� r�nr <br /> y <br /> O H INSTALL� --��'AV�CE_.. . . ---- - � -- <br /> � � g �%��. 1,�`,,/���j�-� ¢�.- <br /> F-1 [i] I HENEBY �PPLY FOR TN!USE-O�WRTER IN �CCON��NCE WITH TME �t��� <br /> (�]� ('] ORDIHANCES AND POLICIES Oi TNE WATER OEPANTMENT I.OW EFISTING � <br /> �--� CR AS S�ME MAY BE HENEAFTEH CNANGEO eic�+co�. <br /> � y � MATERI�LS � V IN.I 1 IN. 3 IN. � PRI E i U <br /> z � I <br /> H H PIPE COPPER-. GALV... STEEI I .'—' _ . . , . . _ . ' _A___ <br /> g ti -- —--— -- --- — ; , — <br /> H CORPORATION __I_� � <br /> OC7tn �. .�- . - <br /> --- . _- - - - --- --- -- -._ <br /> �� � i - <br /> CUPB COGK OT ___. ___ .�--- -- <br /> - _.-- _ _ __ _ _ . _ ' __ <br /> z H] qJ SERVICE 80% _ PLASTIC �� G � I I <br /> HOtn - - -. - � -- i- - I— — - ----- <br /> METER VAWE i --f---. .--- - -- <br /> —'� �7 TYPE ,�/ � J � � . . �� <br /> � METER No. �O I-O.� _. _./''(PIG.Y p � A . -__— ___ �I _.- '_ ' <br /> I IMETER BOX CONGRETE SMAIL IARGE ;�� __,__ _ <br /> ___ - _ . _ _'_ —i <br /> � � I <br /> --'_____ _. - <br /> I � <br /> _—__—_ .I <br /> �� __ _ _ _ --� �_. - - - <br /> ------ - <br /> -- � -- - - - <br /> --- --� _- ,- -- -- - � <br /> _ _ � <br /> -- -- �, <br /> i-� - , - -;---- � __ . <br /> , �_ -------- - - <br /> � I �,T ON <br /> OATE INSTALLEO' S_ �1 _ L� �� OFF SUB TOTAL <br /> ! � <br /> '_� ' CODE � /� LAOOP ANO COVIPMENIPLNTAL NOl1R5 A�TC <br /> �_L��G/_ ___. _ ._.. . . . . _._ _ _ ._ . _ __. . . . __ _ _.__ <br /> � I�I ---, ----- _ _IJO ACTION--�— — - -- -- — <br /> _ ---. <br /> Will be�nYen-on�ewite--I— - — _-- <br /> ' apR��itmns_v.�illmut ❑ ---- <br /> � - �- ---- ---- --- <br /> -----�----------.. _ , <br /> '�1_' Backtlow Prevention :,,n,��ll.�tion�� <br /> -- - �—— � -- - <br /> -------... - �- - <br /> — TOTAL <br /> REMARKS: ,��_C(�L l �C� � � �_C'I(I . _ . _ _ _ _ _ _- _ _ _ � <br /> py 1 .. / . 1'-_.. __- . . <br /> - - / �/ --�- � <br />