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'�1 <br />NOPL �-� �,, �.� �� CI-iV OF EVERETT BERVICE No ] � 64 <br />APPUCATION FOR WATER SERVICE �ROER <br />3 � � <br />� FIXED DATE___--_10I1- <br />t� <br />❑DEP061T s ?�: `�.. W. O. <br />�--- r,o.---------- <br />�; _ `j � i' /7 �/ <br />SERVICE I�Y�no�u�l--�= -'-. -----. �� �,=�—BLK.._- -_LOT-_`� S-AUD.11.�--��" i��'�s� <br />//i � ? �/ <br />OWNE 3 � C� . -=_-_.LS�L:_-� � �5��/CON7RACTOR --__ __'______..._ _ <br />INSTAL 1�1lf£RCII SL!lf1CR=' _ -. �� <br />I HEREBY APP�INE USE OF WATER IN ACCORDANCE WITH •HE � � <br />ORDINANCES AND POLICIF.S OF TNE W�7ER DEPARTMENT NOW E%ISTING <br />OR AS SAME NAY BE HEVEAFTER CHANGED BIGMEO: ���� __—__ <br />n��� <br />—MM[BI�U =--- -- W IN. 1 IN. � 3 . '-... PR� wMOl1NT — <br />PIPE COPPER -� GALV. - STEEL I� <br />CORPORATION —� I <br />__ — - __� <br />CURB COCK OT �� <br />_- ..___ .__ —__— — <br />__._. ___..__- ' _'__'_ <br />9ERVICE BO% PLASTIC -� C I I � <br />--___. _. . _ .__ —_ _ — .-' <br />-_ _._ _ _'__ __— <br />METER VALVE <br />_. ___.. .. . — —___. __. <br />METER NO. TYPE. I . _ _ _ <br />METER BO% � CONCRETE SMALL L�RGE 1 I ' <br />_. _ . . . _ .____ ' _ <br />I - - _ -'_____ —.— <br />____.__ _'. __ . . I _�.' _ . <br />___ -� _I. �_ �._— _ —_ _ �. _. _ <br />DATE INSTALLCU <br />coo� ; <br />� C •' `/D -- <br />/..� — <br />I��OFF �''I(y' SUB TOTAL <br />LAROR �ND COUI�i�ENf NENT�L I MOUN! R�TE <br />— • - --- I - -- - <br />- " -i — <br />------VVIII t- _-- _i„—:;u i---- -- <br />_ _ai iT� '" '�_— I . <br />—w-L=�+;.-rr....,_- 1. i�.-.��� .:;� -- . . . . <br />� <br />---- - --I - - - - <br />TOTAL �I 1 <br />REMARK9: � C.� � <br />`�-�c.tJ � _ 7 �,' .SS — — - <br />,.„ . , .. , , .. , <br />