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Na L � � ���� ��1 CITY OF EVEflETT OR7HRE <br /> � � � � � APP�ICATION fOR b'JATER SEFVICE � Q �_n: <br /> N_ / ,5J' 2 <br /> � FIXED DATE___ _ . ._.'�!—�I7__1Yi�-� <br /> /.'�� <br /> n DEPOSIl' s N�__ __ <br /> SERVICE ��Y A�o�a�U— -/y.1 I . i�l�,\I/' .� i._.. � �� .. —.BLK.___ .—LOL�l7—ADDl1�����li__ <br /> � � i i 7 <br /> OWN[R— � " � � . �. � / ��_ .. . _. -_ _ . __._CONTRACTOR —i��U/��'__ .____ _ _ . ___— <br /> .3 � 1�L LA� . . _ _ . <br /> INSTALL- RED 3ERVICE._ - . _ ._ ._—_.____ _.__ ___.—___. <br /> I HEREBY APPLY FOR TMF, 115E OF W�TER IN ACCOP(IAI�CE WITH THE / �// / <br /> OROINANCES AND POLICIES Oi THE WATEH DEP�RiMENT NOW EXISTING �J �/� �I <br /> OR �S SAME MAT BE NEREAi7F.H CNANGED •icr+[o: 1c�Q�'IL✓ a� `TO�G�'f't'�L 'UC . <br /> IA�T[q1�U Yi IN. � IN. i N. . P� ♦MOUNT <br /> PIPE COPPER•� GALV. ••:�'�'EEL �I <br /> .- __�_ _.. __— . .. _ _ _ . .. _ . _ _ __ i. __ . __ <br /> _ <br /> CORPORATION I i _ _ '�, J <br /> CURB COCK OT _ ____ _. ._ . . ._ _ _ —I — . i _ _ _-_ _ <br /> — '__—_—_ ____�.__. . ___ ._ .._—. . .I_._.. "'____ .. . <br /> _ __— —__ <br /> SERVICE BOX PIASTIC -- C I I <br /> __ . ._ —___ __ _.__. __ _ ._ ..___. <br /> METER_VAWE _ <br /> METER NO. TYPE: �, . �. <br /> METER BOX CONCRETE SMALL LARGE i � <br /> ___ _ _ _" _ __ _ ' <br /> __ ..._____ . . ..— �- - _ __ . . _..— _ <br /> —'. _ ._ . . . . . . . I . <br /> —I _— _ — <br /> . _____' '_" .. ..__._ . _._ _ _.—'_i __ _ '__ —_ <br /> _�__ _' _" ' "— <br /> __ _'_..._._ "—"— _". _ .. . __ I .. ._I..— . ._ ... I'_ 'i . _ . ___ _— <br /> " ___ . . . . . � ._'__ __ .. .I . ..I _ _ . _- _ _ ' <br /> u( ON <br /> , DATE INSTALLED: �/�a/�� I � OFF SUB TOTAL <br /> r <br /> COO[ � L�BOR AND E0�'IPMENf RENTAI MOUR! q�TE <br /> 1-L��l.'����fC 1__ - -- - � . <br /> -- -- -- -- � <br /> � � _ _ � <br /> -------------- -- -- - <br /> -- -- <br /> � - --- - - -- --�- <br /> � i - -- <br /> -- _ -- <br /> -� - -� -- <br /> TOTAL <br /> REMARK9: <br />