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1 <br />�ltVi'f�(,��(i�?f l��i�t, l��i�n �r �'"�d'%.r'�) �1•��_5.��� <br />A�PL. �^��Z CITY OF EVERETT 6iRVICE N� � 2 � � <br />N�. <br />f APPLICATION FOR WATEH SERVICE oROEn <br />� FI%ED DATE_�,2s'__ta4L <br />� DQF`OfITi �2y �V i��.l�,•.•,..��� ��rC`1 ( 00. <br />�1 _ <br />_ � ... ... ..... .. t %�lirl��Fil <br />SERVICE ��r enoeun�_��h �� �L BLK.. LOT_��` ADD.__��Y1� � <br />�WNE^—��.N-�A�ipS CON7RACTOR' <br />�/ FLA . � q �i��- � i —_ —.-- <br />IN6TALL�'.� SMETEkED SERV�CE_— �� . �_. __ _ <br />I MENElT AP�LY FOR TNE USE Of W/1TER IN ACCORD�NCE WI7N THE <br />ORDINANCES AND POLICIES OF THE W�TER UEP�RTMENT NOW EXISTING <br />OR AS S�YE MAY BE NF.RE�FTEN CNANGEU. •� ___ _ __ _ __ _ <br />MAT[RUIt 11� IN. I IN. ! - � _ PI1� ♦MOUNT <br />rIPE COPPER - GALV. •• STEEL I I I <br />CORPORATION <br />CUR! COCK <br />BERVICE PDX <br />METER VA�VE <br />MiTER No. <br />METER BOX <br />OT <br />_ _ PLABTIC •- C I __ _ <br />__ _ TVPE: I •� _ <br />:ONCRETE _ SMALL LARGE <br />� � cN 5�zI9I <br />DATE INSTALLED: UFF <br />COD[ i L�l011 ANO [OW/M[N f PCNTAI <br />—� -� 3�-�---- --- — – --- — <br />__ <br />—, --� ; �_ ---- <br />=— -- �--���----- <br />—� — --�!'� a"�G6+.�.. ..i r�vicd <br />� '��vl';�,:w,;i�, u't '+�c�T'i 7— <br />—i �— ---- -- �•.S::t:.u'J.,t. <br />REMARKS: <br />—.I . . . I �_.__—_J4_ <br />y- __ _ <br />I' __ _ <br />SUB TOTAL <br />HOUI1/ � R�T[ <br />TUTAL II <br />,C'�Uy / ��� — -- --- <br />—_ n� Y r-� m:.^ m f ^ � .� i O x 7C ]t �.• m rr, •... n.. ., i.. Y! J:. <br />� <br />