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�()H <br /> x C 7 <br /> �'ay <br /> ��H <br /> ��N <br /> � zH <br /> K O <br /> O x0 il�l`+ � C� i <br /> � c~i�H NOP�" Z < " "GCJ CITY OF EVERET7 1'0 P(1STING SHRVICE �o � <br /> ,5 �5 ___oRflER n_ 717 _ <br /> � z� APPLICATION FOR WATER SERVICE p <br /> h y d � � ��— -Ff- <br /> � Fixeo DATE_—.�— 18 <br /> � �o 0 oEPOS,T :--- Tn pOSTiNG_ ��>������ N°--------- <br /> �� ��a! Q �7 c -, /l ./I <br /> ZH�a SERVICE (BYAOGREYIp—(_SL. L � ��J ..�J��1��C —___. —_eLIL ._._ ___LOT-_._.�_.__ADD.GJtlCILL��C� <br /> 9 Hr� r �J <br /> r Hy OWNER_�SL� __�/� �/Llr��CONTRACTOR'.__'____.' _'_'_'__'_ <br /> � �H INSTALL_=Ll� ERED SERVIGE__ .__ .. . . _______—____ <br /> ._. ._— .—__. _ __.— ___ _ _ '_"_ <br /> r�., d� I HEREBY APPLY FOR ME�°.,E��-..kiEft �CCON�ANCE 'HITH THE � A � ; n O <br /> � �[� ORDINANCES ANU POLICIES OF TME WATER DEPARTMENT NOW EZISTING y.� - �'/��(//� <br /> �yy [y� OR 15 SAME MAY 9E HEFEAFiEfi CH�NGED elGneD: X _ \ _. . __ � � T� . . <br /> . . . _. __._'_—__ <br /> y O� 1 IN 3 IN. I . . ... PR� �MOUNT <br /> plpE M COPPER-- GALV. --STEEL 4 1N �' � I <br /> �I <br /> _"__..___—' __ _.. _ __ . I _'' _ <br /> CORPORATION � � <br /> _--_ —_ . ..—..__ - _. <br /> _ _ '__. __. _._—'__ __ . <br /> GURB COCK OT �� . I � I <br /> — .—_ . —' '"— — <br /> . . — __ _ _ '__-__ "--'—_ <br /> SERVICE PO% PLASTIC C I � � I <br /> _—_ ' ___—_ . . . . _.._ __ . _ _ _ "__--I -- <br /> ' __ —' <br /> METCR VAWE � I � I <br /> '�. �. _ ._ . _ . . . . ._.— _._ '_'___ ' __ <br /> ,a` METER No. ___ __ . TVPE: • . "_— _ _—__ __'� _ _— '____ _—� <br /> _ METER BOX_ CONCRETE SMALL LARGE _ _I_I . _ <br /> _____'_ _ _ __ <br /> � <br /> $��= � I ' <br /> - -- - - - ---- ----------- ---- <br /> � � ' � I <br /> - — --�--� ---I—; — _ <br /> — -------- - - - � i ---�—� — <br /> � . .. - _ __ ---- I -- li — — <br /> — -- — - - -- <br /> — ---- ---- —�---�- -—_� __ _ --.. ---- <br /> rl O N <br /> `� DATEINSTALLED�. �� OFF SUB TOTAL <br /> CODE � LApOR AND EOUIPMfNfpENTAL � MOURS RATE <br /> �.. .,� �!��� � <br /> - - - --- -- -, - - --- -- <br /> !I"-I -,' __ t���i �.� ��� ' , --- ---I- __ - -_-- - -- <br /> :-�,. <br /> _ — " , :r .. .: S� i _ <br /> � — — .epplic�;iion, ';::i��ooF d � �-- — — — <br /> c'._L..�. ., . . �.... -- -- -- -- � — — — <br /> . . __—__—_______ .. -,nt..._..rC-..,�'_�_.^-_—,.,— <br /> ._ . _ _.._ . . _____ . _......"__._._. _"' ."__— .._I'._. . ___" . _ _ <br /> , "—'—__—_"_ __ I <br /> I <br /> TOTAL <br /> REMARKS: 6 ��//^ .__.—_ <br /> _ , _— GCi�._ .� 4�v __. __'. . . ..___..__" '"._ ' '_—_""'_—�_ <br />