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4�P����.�I / . <br />CITV OF EVERETT SERVICE <br />APPUCnTION FOR WATER SEfiVICE onoeR NO. <br />` `/ i <br />;�1 FI%ED Q DAT /1���'C'�" ^ 7 19 �� <br />, DEPOSIT s�0 .� W. O. <br />NO__ _ _ . <br />/7 J S. <br />SERVICE 1•�v �[��H �o` G� /O ��✓ � A5� ��.BLK. . _ _ LO1�K. ..ADry ��` �iGrfr—� <br />y// e <br />OWNER� �fy,�p� �j�a���,m _ - GONTqACTOF - . <br />INSTALL � /, ��L9L� <br />�� �f/_ MEiERED SFRVICE - ---- (�/� � <br />1 HEREBY AFPLY FOR iHE USE <��F W�TER IN ACCORDANCE WITH TME /�. Lt�Z��J/J//�� ,�� <br />UNDIN�NCES AND POUCIES OF THE W�,ER DEPARTMENT NOW EIIISTING /j/ /`1• �l."'l 4C-� <br />nR AS SAME MA� BE HEREAFTEN [��ANGFD BlaNco. R/�L <br />.. `_ MwT[HI �Lf �i IN. t IN. 'i I IN. � PRICE I erer Uvr ��..�. <br />I _ _ I_ _ <br />r�Pe � <br />COPPER GAL\.•-STEEL r <br />._ '__ _ _._. . . _—.—.. __ _ _.. .� _.. � . __ <br />� _—____ _. . <br />CGRPORATIUN , � � <br />_.__ ._—___ . —'_'.—_—_�__�_—. <br />_ <br />..—__.. __'_ .._ —'__ <br />cURBCOCK OT I �� <br />'_ __'_. <br />. —____ . . . _. — —_ . <br />SERVICE BOX _ PL�\gTIC .. (: I I <br />METER VALVE —{I— � <br />METER No. .' _—__'_ TVPE: I .. K —. �. _- _.. i . <br />METER BO% CONCRETE gMALL LAFGE ; <br />_'_—_— _' __ - ___ .I' �I __. .. �.. .� <br />� <br />___ _ "� __ __. <br />�—, I <br />— _ <br />"_ <br />_ _ ____'_'_'__ ' .— _— _I"_I____�__'_' .—_. ', <br />. . _ . __ ___.. _.. . . I <br />ON <br />oATE INSTALLED: i��L�/� v/ L� CFF <br />� � 4J <br />:���Q I L�60p ANO CO�'PMF.Nf RENT�L <br />_�-- - - � '"�Gt c. � <br />I - ___ <br />--' �Y���o� <br />--- --- <br />- -'---- <br />REMARKS: <br />-- SUB TOTAL I <br />up��H1 II�TE � <br />,0: f�.J�l � /f �'. <br />���1 / I � i - - <br />