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ArPL. �/�-/�U CITV 0� EVERETT 6i�vicc .�. ; �, `S <br />No. 4v 011Dt� i1��. � � <br />� �APPIICATION FOR WATER SERVICE �Y��pp <br />� �IX[D DAT[._��J_'_l� <br />t� <br />�D[r0f1T f ��� _ W.O. <br />No.— --__—__ _— <br />•ERVI . . � eo �pn—.� ��/-'`` " `�" �'V-v `--� __ -- BLN._ __- __LO�/ -ADO1.L�g.SdfL14�'� <br />OWNER__7T-� .___�hJN2-��J_ _CONTRACTOF..__.__._"_-_'_' ___.-_..._ <br />, 7�� - FLAT ) _ _ <br />IIieTALLL .fi1!'fEriED 6ERVICE_. . -- ----_--___ . __- —. _--- <br />I HFREEY APPLT F011 �fNE USE OF WATEII IN AfCOROANCE WITH THE <br />ORDIN�NCES �N� ►OLICIES OF TME W�TER DEPARTNENT NOW EIIIS7ING <br />OR AS S�M[ MAY DE HERI?IIFTIR CNANGED •rar�eo: X� __ .______ <br />MI1T[PI�L� <br />rlrE COPPER �- GALV. -� BTEEL <br />__... . _ _ ____'-____"'__ ' '.. <br />CORPORATION <br />CUR! COCK Ol' �� �-� � � ...-��--�--- - <br />e[RVICE !OX PLASTIC •- C I <br />MfTER VALVE <br />IN. 1 IN�� [ IN�-� <br />_ L-__J "_. I <br />II ._�.-. . ', <br />__ _i _.-_ __-__' <br />I <br />I_ _ — _"_ I <br />_METER NO. 'VPE�. i i _ ___' <br />MF.YiR !CL CONGKE7E 9MALl LARGF, i <br />"___ _'_ __ "_-_ _ . I —_ "�_" — <br />_'_-__'__-__ -.__ __-'_ _ -_ _ _ ' i"_ I ,__. <br />- . "'__._' � _.'I _ _J".. <br />, , <br />-- --- __- - -- _ _ --- - - _ _ _ - -�--�- -- � __ <br />DATEIN9TALLED: � <br />COD[ <br />�11'� •MOl <br />� ' m ON ^ <br />f J\OFF !fU8 "�OTAL <br />L1lOR ANP lOUIPMR.NfR[NT�L - ��YOVR� 11�T[ � <br />C't'��i14 /i���l�� I . _ <br />r <br />_ - _ _ _ ' "__._-. _ "_ ._" "_ . .. _ _ -- _ '_ _ .. -_. . .. .._ .. .__ <br />--; _ _ Q � - - - --- - - I- -- - - - -- <br />� _ - - - -- <br />� -�� _ .._- - -- - -'-_ __ - -- - <br />- <br />_ <br />-,------- - _ - - - _ _ _ - -- _ 1- - - -- <br />TOTAL � � <br />REMARKS: <br />