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APPL. � � /.� � I <br />No. CITY OF EVERETT gERVICE � <br />APPLICATION FOR WATER SERVIC[ ORoeli �, _ <br />L�-7'FI7(ED �ATE_ _� 3 _..f4'! <br />r� � �091T s�j'0:.. �/ rV. O. _. <br />Na_.-. -___-_ <br />' —_ ._ __.— <br />�n _ '� � � <br />SERVICf_ ISY�DORn�I_L"'vU 7:?i.N_ �jT. S LU -__ _BLK. .___._LOT__ADD.._ <br />OWNEROL�U�.ii�!!'2L�' /�+G/l✓'�%M# �Titi. �`%LI�j_ _ <br />NTRACTOR <br />2„ �, .,. - <br />--- --- <br />IN9TALL-_.__ �MLT�RED SERVI � <br />I NEREBY APPLY FOq THE USE O� TEN IN ACCORO�NCE WITM THE 1 /// <br />�RDINANCES AND POLICIES O: TNE W�TER OEPARTMENT NOW E%ISTING `'' �� <br />OR AS S�ME MAY BE HEREAFiER CHANGED etcwco:% V <br />MMERI4L8 2 IN. � I p� AMOUNT . <br />w �H. � ��,. <br />PIPE COPPER - GAU4 -. STEEL � I <br />- —'_____'- _ . . - . . . . ii"__ _� <br />"_'_ <br />_ _ __ <br />i <br />CCRPORATION _ _ . . . . _ . . i . ...i . . --- <br />':URB_COCK OT I I <br />_._— " I <br />SERVIC! BOX _ PLASTIC �� c I <br />METER VALVE � � <br />METER_No._ �.'__� IJ_ TVPE: I , <br />_METER BOX GONCRETE SMALL LARGE � <br />_ I <br />._-_'_"___. _.. _ .. . �. <br />_ .--_'-__.-___- _-__ _-. i <br />. _—___'___'- _ <br />__--___ .____-'._ <br />I <br />. . _' __-_____'-- -______ <br />_-__ -_- . _- ., <br />.. _"_ "_ j_'-_I--I__"._.. <br />I IC1 ON <br />DATEINSTALLEO: �' 7 " OFF <br />1, <br />GOpE ; L�BOR �NO EOl11PMENf RENlAL <br />_ _______ _ �� , � r�� � � . C` <br />., __._ _ ._ ____ ___ . . ... / x�� <br />_I <br />� <br />SUB TOTAL <br />IIOUR9 R�TE <br />� <br />' � L_! � .- -_� <br />_, O`-/� - <br />� __ � _ � <br />-- <br />-- - -- -- 1 <br />_. - � <br />TOTAL <br />HEMARKS: <br />