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APPL. BERVICE <br />No. Z�p �p S CITY OF EVERETT ORDEq <br />nrP�icnnow FORwnTEi� seavicF ,/�(��I° 541(jQ' <br />� FI%F.D . - OATE ../y1Nr S IOy % <br />O ✓ <br />� DE�OSIT s� O W� �� <br />NO.. _ <br />�j p C Pe f e's Dl� 1- <br />SERVIG[ I�Y AOD11[UI j,� Op - �QS_ �h p� �j.�_ __BLK. _. 10T S A00 ._ �/ �1 Z <br />OWNER__ __ _��Ay�.�jOIA%.Q.. . - __. _ ._CONTRACIOR _�(ISI ��./H -,�} -Ca1 . <br />FLA 1 <br />INSTALL—��_. TERED�ERVICE- - ___.-_________. . __/..._ . _ <br />I NEREBY APPLY FOR TNE USE OF W�TER IN �CGORD�NCE WITX iNE <br />ORDINAHCES ANO POLICIES Of TNE W�TEH OEP�RTMENf HOW Fx15TING <br />OR �5 S�ME MAY BE NERE�f1EN CHANGED •Iar�co�.% ��� <br />M�TER1.1L8 W IN. 1 IN. � 2 IN, PpIC[ ' ♦MOONT <br />PIPE T/� _ . _-__ _ �.c ��I_._ � _ .I ' I <br />CORPORATION � j � <br />.___.._._ __ _ ._ . _ <br />�CURB COCK OT <br />SE� R�E 801c � . . LASTI C I _�-� <br />METER VALVE I . I <br />METER NO. TVPF: � . _ _ <br />METER 80% CONCRETE SMALL LARGE <br />�-iso7,a � . -I ---- <br />�i� N rN ��i✓.D / � � - <br />t�t�C �?fIPDiN�; .�9A�LE G,�.3 - I _� �_ <br />�,�s- !�� �s�'Tf�� . � � - _ <br />��,ri ,�/.� ��i�c1y" � u��6 �1 �' <br />OATE IN9TALLED: /O _ // , 1 <br />! E� c <br />cooe I � <br />__—I __ . _.. <br />= o zz8�q �Q I <br />REMARK4. <br />- I �1 ON <br />���� OFF <br />OR AND EOUIPNEN I RENi/�L <br />L b/ <br />� // (/ / SUB TOTAL <br />LeJx�l R�TE <br />f�i.�9 ,F� <br />.3� os ,6 <br />TOTAL <br />