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� � <br />""`' � s9q/ CITV OF EVERETT ecnvicc � <br />N�� ORDHR N �� ��-I E) <br />APPLICATION FOii WR,TEN $ERVICE p+� <br />FI%CD DA� _ " �3.__�0� <br />❑ / Ol " __ <br />� ocrostr s t�_Q_._ w. o. <br />fNo.__" _ __ . _ <br />�6T � �, - <br />�18 ��, f/ ,�- <br />OERVIC[ IW woo •I i -.(j � _ BLN. _ . _LOT _ _ _ <br />.?1-� �� _� .� a� '" y - -�-- <br />OWNCR _L�� -�[-,___ � /y(._ „�t �ONTRACTOR <br />__ _ . _____ _ .—...._-- <br />A � <br />INSTALL ��(�(_METERED BERVICE_ .. _. _ _ . _ ___ __ _ _ . <br />I HEREEY APPLY FOR THE USE OF WATER IN ACCORLANCE WI'H TN: � t <br />ORDINANCES �N� POLIUES OF THE W�TER DEPARTMFNT NUW EtI571N4 �y � � � \t/N �. f, <br />9R AS SAME MAY BE HERE�FTER CNANGED •lav[o�IC�W `v' �- (� l.lA-T{,+�....t'�, <br />cT <br />MAt[I1���■ _ S IM I �Mf[ AMOUNi <br />P�PE COPPER -� GALV. -- STEEL I - I <br />—____ � <br />. . '- _' _. _ ___ __ . - _. . _ _ <br />' — -. __' _ __ .I_ _ J�.._ i___. <br />_ _ . _ ' _ <br />CORPORI.TION <br />.___._. .__—__ . _—___.__ - __ _ __ __'_'� _.._... ' _—_ <br />GURB COCK OT � <br />SERVICE BOX _ _ �PLASTIC -- C I I � � <br />MHTER VALVE .. .. . �--���� � _� �� �-- -- � <br />_METER No._ TYPE: I •, ' � � � -��— <br />MCTER BO% CONCHETF. SMALI LARGE I <br />— _—I _ _' � <br />- --- - -- --- -i �-;-- -�-; -� <br />DAT! INSTALLED. �/ <br />iT / <br />con[ <br />REMARK6: <br />Ii�1 I <br />., _ - -- - <br />� i � <br />� nN <br />� I � OFF SUB TOTAL <br />L�lOR I1NDlOUIP�ENlp[h��L � MOUR1 � N�T[ <br />-� _ . .. L-�+i��PR[�L/P �. _ I ._ <br />- ----i — <br />_ 9 � ��/��� � — ! <br />__ ___ _ ____ <br />_ _ __ _ _ _ _ _ � <br />I <br />