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+� <br />; "i <br />' r ^� <br /> '! <br /> r <br /> r -� <br /> . „ <br /> �. <br /> ��,P�. a3fl$� CITY OF EVERETT <br /> R�ER E NO,. . ��.'i ,S <br /> No. qfPLICAfION FOR W/>TER S=RVICE �, �, � �/ �_�g `j <br /> on`�:�'^""=i — <br /> i / <br /> � FIXED pi W.O. <br /> 6o No.—--- .� <br /> � DEPO5IT s __ � ���GZ� ( <br />�I ��/y� (/�/�� '7 ��� � <br /> _fU � ���/" �_��__—BLK._ LOT-�- <br /> I SER`/ICE (BYADOREe —�±�.{}=G��� -- _ _ <br /> I/�/� s���� � i I CONTRACTOR_--- <br />` OWNER-��/.�Y N -- <br /> 3 � ` -- --.. <br /> INSTALL..�� ETERED SERVICE.—�-- � /� � <br /> I HEREBY APP�Y FOR THE ❑SE OF WATER IN ACCOR�ANCE WiTH TNE gIGNEo: X . _ 1�GG�a�✓--'-�"-�-"-�'(y� <br /> JRDIN�NCES AN� !'����IES OF THE W�TEN DEPAFTNENT NOW EXISTING �_ <br /> OR AS SAME MAY BE MEREAFTFR CM.4NGED. � 'N ' IN 21N I p i� � our+r <br /> I I�_�_f..-- '. <br /> M/�TERIPLS' <br /> I — � I,_ <br /> PIPE —__. . COPPER•-GALV.--STEEL __ <br /> �I_I__I---� � <br /> GORPGRATION '___ _'"_----�-- I � I I� _ <br /> OT �-I � <br /> CURB COCK __ _--_'-------_--- I __ —.. <br /> PLASTIC -• C I ___ � � <br /> SERVIC—EBO%_._ ------ . 1 _'-'-. <br /> METER VALVE . —-_-____ __—'_.--'_'__ _I—.—_ __— __�I-- <br /> TYPE: <br /> METER IJo. --___�___.__ _--'__ __"__.._�"_'�.___I� I -_ <br /> METER F30% CONCRE�E _ SMALL Lf.RGE --�I-- <br /> I I I � <br /> __-----____--"__ _� ��— — <br /> _� __.______'�'_I' _ _— <br /> - I — _�� __ <br /> -.--- _ _-- -�,-I---,- - _i-- �I <br /> ---- -------�-�I..��_ � , <br /> I C'N SUB TOTAL � <br /> � _ � � � � � OFF �_ I <br /> DATE INSTALLED: �7 . _ <br /> nOl1R5 PATE i <br /> LABOR AN�EOU!PMENT ACNTAL �'�� � I ��^. — <br /> COOE �, �' I <br /> 1 <br /> _, <br /> ------L-��u� I i i � <br /> - --- <br /> ---- <br /> -------- _ �- -- - <br /> -�_—_ ----�g� / - —___��;u_! �__-- - -- — <br /> -----_ - _ �/_�� _i _ - <br /> — --- _-- <br /> --------- <br /> i —--------- _ _ , <br /> � --— — ---------_ _ --------, <br /> --, , <br /> � TOTAL <br /> ��--- i <br /> � ----- J <br /> REMARKS: --" ' <br /> -------------- <br /> � <br /> L J <br /> L <br /> J ' <br />