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��►L. StnvicE <br />wo. G 92,) � CITV OF EVERETT onoee j�f° ]' � 5 <br />APPLICATION FOR WATER SERVICE .t ��J (J��J <br />�GIXCD /, D�TE__\! G_O_J�7 IY_ <br />❑ oEro��r� /,�_s m nr��TING �f•S•94 ..9/�'737� w.o. <br />No.._ _ <br />iEFVIC[ (�YRw O�u���^� �� � � BLK.._—LOT�� AD�� <br />OWNCR-1-�=7�{ CONTRACTOR _____ _ <br />F <br />INETALL� !R PVIGE___._ ______._ <br />I �'..]E!T �P�LY i011 THE IlSE OF W�TEN IN �CCOM��MCE WITH THE i�J � <br />ONJiN�NCES �MD �OLIdES 01' TNE W�TEN UEP�NTMENT NOW EItISTING l i <br />OR AS S�YE M�Y BE HEPE�F�EM CN�NGEO. ucHm: _ �:L�- l,.L(� JI,�� � -- <br />.�� – <br />MAT[Ill�l{ i 11�' � I IN.'i i IN. � rPILC TAMOIINT <br />�IPE COPPER �- GALV. �- STEEL �I�I I II 1 <br />CORPORATION <br />GURB COCN OT <br />iENVIGE BO% PLASTIC �� C I <br />MiTER VALVE — –�---"...'_'-- <br />METER No. f0_�_! �__ ��� _TYPE+./b�UR�.I �`� <br />N <br />METER BO% CONCPETE _ _ __SMALL URuE <br />DATE INSTIILLED: <br />cooc I <br />� �3�R� <br />� UN <br />�Z�G.S � OFF <br />� BOp �MO EOUIPM [N f P[NTAL <br />-- -- --------�_-�u_I <br />-�-�_-i_-��_ <br />� � I <br />i =_ � _ i _. —_ <br />_I__�I ___' i_"_ <br />I I __,__,_"_I_—_ <br />SUB TOTAL <br />I NOUFf I pAT[ <br />wilh0ut a <br />TOTAL <br />11EMAflKS: �i��/uk� � �� `�J _ <br />�C e ,1_ <br />"–_–____�–.___"–___' --_ __._ _– <br />