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0 <br />APYL. _ / SERVICE <br />No. �• ic�v2Ci CITY OF EVERETT oRoeR NO <br />' i+PPIJCAiION f OR l9AiGR SERVIC[ <br />� /FI%ED DATE � ._.. _ .I� <br />�d�=P081Tf .C��a' No�— _ _.-- — <br />i1 _ . _ _ - _ _ _ <br />8ERVICE uv r.00en�� /1 L =- - ) �~� . -. -- BLK. . ..L[�7 <br />.2 9�3� �S � � � � �oa,��,,��t __ <br />OWNER �� i ��,�� '�� CONTRACTOR - ._ _. __ _ ._ ____— <br />� <br />FLA <br />INSTAL �� —; ERED SERVICE. � - - � - - - � � � - - - -- <br />I HEREBY �PPLY FOR THE ❑SE OF WATER IN ACCORD�NCE WITM TNE ' �-� , 1 . <br />ORDINANCES AHD POLICIES OF TNE WIITF.N DEPAflTMENT NOW EXISTING ,%� <br />ON �S SAME MAY BE HERE�iTER CM�NGED slcdEo: % � '--�.+�•�� �- " i� �-�" � � <br />N�TERI�lB W IN. I IN. 11N. PRICE �MOUNT <br />PIPE COPPER �� GALV. •� STEEL �^ <br />' _—_— _ . . . _ <br />_ _. —... _ _i . _. _. _._' _ <br />CORPORATION __I_ .. _. ,__ <br />-- . . . .. _ _ _ _ _ . ' _ — —_ — _' _ . _ — <br />CURB COCK OT I �_ <br />SERVICE BO% PLASTIC �� G I <br />METER VAWE <br />METER No. TYPE: � � <br />METER BO% CONCRETE SMALL LARGE <br />DATEINSTALLED: <br />f0=[ <br />RFMARKS: <br />'— __ . ___� � I — I I <br />I ON <br />; ��:J� �_� JFf SUB TOTAL <br />I <br />L�BOH �ND EOUIPMENf RCNMI - HOUR4 � N1TE <br />C.�.vr�P.��n' � <br />,3U I � � <br />�� <br />TOTAL <br />