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� � � <br /> m � x <br /> � Hx � <br /> HZH <br /> fC c] <br /> H � <br /> M H '�J <br /> V1 H <br /> t+7 O � <br /> H C7 <br /> OH <br /> H/� � g <br /> y�Y C] <br /> z H %�S'�J� ��_��,-��� 0 6 610 <br /> APPL. /� L'ITY OF E-VERETT o����R N- <br /> L� H y NO' "\ l�PPLICATION FOR WATER SERVICE !� T <br /> [-] TU 1 OSTI�G. __' ��'7J� DATE_---�-/✓ �g`IL� <br /> p y ti FI%ED <br /> O G VJ l,. W. O. <br /> Q � r J UEPOSIT s , No._ __ ---"'___ __-.. .. <br /> Lg t?' , —.. <br /> 'L H Vl �L,� I ���1�_l.�.�11D_�LH.._. _'_LOT-____ADD._--"--_" .- <br /> H U � SERVICE IOY AOOREB 1--��-q- - - �)�/�, �- <br /> OWNER ,� ,_��---�/--��ic�'�_��L1L.S CONTRACTOR'_______ _' _— _.__.__._ . . <br /> �y�.�-' -\ _�C.. ��.2_3� <br /> INSTAL� METERED SERVIGE-.�- --/-� - �� <br /> I HEREBY APPLY FOf7 TNE ❑SE OF WATEI�IN �ACCOflOANCE WITH TNE /�/ � �/ � <br /> OFOIN�NCES AND POlIQES OF THE WATEfi DEPAfiTMENT NOW E%ISTING eicHco: X ._-._/._-'..�"�/ lv L L � � � <br /> OR AS SAME MAY BE HEFiEAFTEF CMANGED. "- ��� <br /> MATEF�ALS Y� �N. 1 IN. � G IH. I I PRICE AMOUNT <br /> p�pg COPPER--GALV.-STEEL �{I--- _.___ __� ___ <br /> _-__-'-"___ __ _ I --� I_- ._ _ <br /> CORPOR.+TION _ �.- . .- .--� '- --- - <br /> '-_--"_____ — �� I __� — <br /> CURB COCK OT _ _- -- - -- - <br /> ___ - I --�—i-.__ ._ <br /> SERVICE tiOX PLASTIC -- C I � I . - - <br /> ._. ___-'__ — -_{-- <br /> METER VAWE . ._. . _ ---I'- — I .. .- -- . . - <br /> .__ __- - _ - p I �/ <br /> __' <br /> ''�' METER No. y�'�� TYPE:�QGC4-I , �1� . . .__ - ___ _ <br /> _ -- .. _- '_ -1 � <br /> ' ' METFR BOX CONCR�'6_AI:T�O�SMALL LARGE I � I . .. ._- ----- <br /> lJ _ ___- -"____— � <br /> � -- � __I_I_ _-._ . _ _ ._ _ .__.._ <br /> 1 1 n• tLt J�Q,�,ij8{tOtf -__- I_-��I� I _ _ __ _- - _ <br /> O , <br /> a r�i_h ke`� , — -- - - - -. <br /> — oi �,a:v ,,, � � <br /> �- se� rr���--- _- - --I--'- -- - - <br /> __ <br /> ---- - - -�_.,- <br /> --- ---�— - -- ---� <br /> ��� - _ — �--�-�—,- <br /> r_� ; I � oN <br /> �ATEINSTALLED: � pFF .".JB TOTAL <br /> �� �/5=9/ - - <br /> �� COOE � LAOOP ANO EDUIPMENfPLNTAL M` OURS R�T[ <br /> � <br /> �f �� �38 __ --- ---—--------,--- --— --- - <br /> � ---` ----- — -- <br /> — <br /> ------- --- <br /> �' i ' <br /> ------- ---- - - -- <br /> , <br /> ---- --- - I <br /> , ---- --- <br /> �� � -- --- ----- -- —I-- -- - —- - <br /> �' i I - <br /> _� - -- - <br /> � --,,------ _ <br /> � � <br /> ---' - TOTAL <br /> REMARKS: �,:�.-L.l-��J .�" St�� . . . . . _____.__. . _ ... <br />