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� a..: L � ir <br />\ F:_ <br />`�i•�urr.w;:ir•r a sil� ')IGn �a p;,sf.ny y/.z.3/9! <br />A�PL. .�� ednviec N� �2 � � <br />N„ ���,a"� CITY OF EVERETT JRDER <br />APPIICATION FOH WATER SERVICE <br />C/ <br />�� FI%ED p . . .',1 � ���DATE--�3_tY_� <br />GO t� I VJ.I��v.�-�/L___ <br />� DEr001T�1S—�_ W��• __ <br />No.____ _ <br />BERVICE �w �ooeml <br />l^s _II i� v�• �� __BLK..,_LOT_�a—ADD._.L'�'��'�(6�-�- <br />OWNER—�Q'Lyr��n''� ����� _CONTRACTOR _ r��T— <br />��/ FL�.7-->._. % u�1 , I <br />INlTALI�-LZ�M�TERED ERVICE�.`! �'y •, L ��— __._— _ <br />I HEREBY APPLY FOR�T U�WA7ER IN ACCORU�NCE WITH TNE ��S <br />ORDINANCES AIlU POLICIES OF TME W�TIR DEP�RTMENT NOW EXISTING <br />OR AS S�ME M�Y BE HER[AFTEF UTANGSD. uar�o -�� ._ .-. ____. __ <br />---M�Tk111�L� --�— K IN. 1 I .� 3 1 ` � PRICE I�' T•MOUNT <br />PIPE —..--- —_ COpPER_GALV---STEEL � -- I -- �-- � <br />CORPORAT:ON � _ �_I_ I <br />CURB COCK OT <br />SERVICE BOIc <br />METER YALYC ._ <br />METER No. <br />METER BO% COI <br />C'�� INSTALLEO: <br />COD[ I <br />PLASTIC •• C I <br />_ _ _ _ __- _ _ _ . . . __._ <br />TYPE: I • <br />—_. —_ ___ _ . '.�..—_ <br />ETE BMALL LARGE � <br />—_.._. ________ ._.__.__.I-_- <br />I I <br />ON i <br />I � orr S / %/ <br />L�l011 AND EOUIPMEHf RINTAI <br />�—__ ___ _ _I __ <br />__ ___. _.. _ —� _�— <br />SUB TOTAL <br />NC��R/ I A�lE <br />�- � r,n Arriorv -- �---- - -- <br />�.-___ __.— <br />----- �'. i: i �uF. , ,—=.-„ �r– � - — — <br />� i �. � I ,����i� �v�ll�"�� y � <br />I----.._ s.+_-' ------ ----i,,a, _ <br />--- ------ - - . . . . .. . _ _ .. . - — - —�-- — <br />TOTAL <br />REMARK9: C � � L � '/r �C Y � 1,- � <br />� l, � <br />_.__-�j__ ___. .. _ . __ _ _ . .4_ _ _ _ . _ __ . ...._. ___.. ... <br />�'l S:. r r !• �tl Y£ Ar �-, m Kn r.� i:- m� .. iri ��- f[' '- �-• _n � <br />