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SERVICE <br /> M1OP� ,a �J �.S r CI1 Y UF EVERETT OPDER NO. <br /> APPLICAI ION FOR WA1�ER SFRVICF D�T6:�7 - � l� ��� <br /> �-� �I%ED � <br /> ; � DE�O01T � 60 / �. N� _ .. _ <br /> J C . <br /> 9ERVICH ��v �ooenn 3��3 - /a �� �� � �•.`-��-- BIK. .LOT 7_ _ .__�V�'/. �'u�v . ' <br /> OWNER_.. �� L��"-�.. _ . . CONTRACTOR _ _ _ . ._ -'_ _ . .. _ . --- ' <br /> w ��y��'�p <br /> INSMLL �y - _h�FTeRED 8 RVICE- - - � - � �-- � � <br /> I HEREBY APPLY FGR TNE USE OF W�TER IN AC[PRC�NCE W:TN TXE � � . <br /> ONDINANCES �NO POLILIES Oi THE WATEft OEPARTMFN! NOW EIIISIING .1OHm: % .. -- . <br /> OR IS SAME M�Y BE NEREAFTER tN�NGED <br /> M�i(p��_S 1l IN. I�I l IN. - � � PIIIC[ �MOUN� � � <br /> PIPE COF'PEk �- GALV. �- FTEEL I -- - � � <br /> ___-__ " _ _ .- ' _. . _ _ _ - _-I . _ _ rI ' i. <br /> CORrORATION ._ !�- --- -- � <br /> __--____._._. __.. <br /> __ __-__--.._ -i.. _ - i . <br /> i'i <br /> GURB COCK OT - -- - ,- <br /> - . _ __ "_ ---I _:. <br /> ' ___-'_____ <br /> r <br /> SENVICE Bo% PLAS7IC -- C I _ . <br /> _-_'.__ __ ._-. . -. __ _ _I . . <br /> METER VALVE -- - � ' � <br /> METER No. TYPE� ' � ��I _ _ _. i,i <br /> 'IETER BO% CONCFETE BMALL LAPGE __ _ . . .- <br /> _._._ _'. _. _ __ -�_ ' � . <br /> . . _____'_ ' __ � I � <br /> - . ___ ____. .. _ . . . __ -I - _. -- ._ <br /> _ -I _ <br /> ___--__._" ____'_. __-_"__ __ -_" � - � . <br /> I � . - - <br /> _.._ <br /> .- '_-__-____ __. . ' ' _ - __ - _ I <br /> � -__ � <br /> ON <br /> DATE INSTALLEO: I -� OFP SUB To7AL <br /> L���-����� - <br /> -���� � ��OOR A1If�EOUIrMEN f R[NTAL NOUR• RI,T[ � <br /> __�. Sl . ' � 1(� . _ __ <br /> _-__.... _ __' � <br /> 1� <br /> -'i - ����01� '�1Z11/ f <br /> „ <br /> �-- <br /> - -- <br /> -� -- <br /> - _ _ _ <br /> .-I________. __---_ T��IAI�. . <br /> REMARKS: -- -- ---- -- - ' <br /> II <br />� <br />