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�17L��' <br />ArP�. .� /—i `, � APPUCATION FOR SERVICE BERVICE N° 2455 <br />No. " <br />�� � CITY OF EVERETT WATER DEPT. onoen <br />- FIXED DATE .. - S _ _ _�p�( <br />�•� <br />�_ i OEP081T f L`. _ N�.,-_ __ <br />/�� N <br />SERVICEi�YADO�E�s�_1D,7. _.JL�� ....7�._?_[. . . _ BL"R..a�__.LO7__i�__ADD.SIL.4�f�_��/I�., <br />� , , / iiAriJF..0 �R:�a - <br />OWNER�./}_L]� L 1_��. I �N! NL`IG-y--' _.._ _' __. - CONTRACTOR '. - ___'__ _ '_- __'-'__ <br />:�i i FLAT � <br />INBTALL _�.y.. . METEREO SERVICE__ _ . .. ___._ - .. . _. _ . _ ._ . . _ . _ _ _ _ _._ <br />I NEREBY APPLY FOR TME USE OF WATER IN �CCORD�NCE WITH THE ' '�.I% � <br />OPOINANCES AND POLICIES OF THE WATER DEPANTMENT NOW E%ISTING � �� �. ���.��� ���,. <br />OR �S SAME MAY BE HiREAF1EP CNANGED •icH[o:% ' _.. _ � „ � . ' , �_ - . <br />AIGIERI�L! ', $ IN.: 1 IN. 4 IN. � I � �RICL ;1 AMOUN♦ • <br />PIPE COPPER -r GALY. �- STEEL I-- <br />____".'-_-_- . \. � . _ _ _ - ___. � <br />CORPORATION I / <br />, _.. __-__ --__ ____-__.'_" <br />CURB COCK � OT <br />� '_-' __' _ _ <br />; SERVICE BO% PLABTIC - C! <br />� . ' _-. __ "'__-"— <br />; METER VALVE I <br />METER No..)'.. � ��/ ., TYPE� %I •�{ I <br />METER BO% \CONCRETE'� SMALL LAFGE � <br />�_ -___--_ �-._. _ _ . <br />/ i�'. r � '%. . \ /� . , :%i �., . i _ <br />� . , <br />i_-- _-__'___..-. '_._ . .. . .. ._ . _. ._ .. -I _- <br />I <br />� DATE INSTALIED: `.-17�' <br />�, r�:�.lARK9�, <br />�] O N <br />a <br />�.� oFF <br />I�eOR AND EQU�PMi.Nf RENT�L <br />! - <br />c �/.ti% '/ <br />i "_ <br />� <br />SUB TOTAL <br />_ ._'_'�o�ia5 � PNF. � <br />� <br />