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nFN�,. �O 3zO ApPLICATION FOR SERVICE sERvice y� � 6.�i <br />No. URDER <br />;, ,j_ ,� GTY OF EVERETT �NATER DEPT. '� <br />� � � - � �, ;J <br />. . _ DATH :�.i.c1_-c�.._"18._L__ <br />� FI%ED <br />, r <br />� DEPO5IT S_ ` L'�: �_'-t_ No�__'._ _ _—_____'_ <br />I' � �' /`�fi ��li �• /l ,/ �J ti .��/ <br />SERVICE /ev �oonEss� � . -. �y . ' .+`-'� ° � - -7-BLK. _LOT_ _-__ADU.--____.-__. <br />� � ��� �-�i ���.�1 .����/) <br />OWNH�C/li�..,l��. �!r I .ii� i�r1,.�. _ __I.�NTRACTOR_- _ ._- .. _____ -___._ <br />� �� �R� <br />INSTAL� ''� —_METERED BER`.'ICE_-____. _ . .__-._-___'-__._.-_- ____—_- _._-_-____.-._ _ _ .- <br />I NEREBY APPLY FOR THE USE Of WATER IN ACCOPDAN�'E WIlY THE �,' e <br />Ofl01NANCES AND POLICIES OF THE WATER DEP`RTMENT NOW E%ISTING � ' � . , � •,� . <br />OP AS SAME M�Y BE HEREAFTER CHANGED. 6Ic�+[L; %L'.i�i,:._ ��.� �- ��_[-:-_- .---. -. <br />�.� (��. ' ���� `���' _ <br />�. ,r- a.�: __ <br />MAT[HIALB �n �N.I 1 III. I Y IN. ' � P91f,F. A AMOUNi <br />� I� <br />PIPE COPPER •- GALV. -� STEEI_ � I I II <br />____-�-'."'— --_-__I __ <br />__ - il i <br />CORPOR>TION � .. <br />_i _. -._----_ _ ..__ <br />CUR9 C.00K OT —� I �—� _ �'�_ I __ <br />eENVICE BO% _ PLA971C •• C 1 � I_ <br />METER VAWE __.__-p -p'__.____—'/___ __�'__l_ __ <br />M ETE R No. II0 I � ���d 7,i.� "� �/�0.�_ Nl�_l.i;��_ _ I _ �% _3 '�� �i.� _ <br />METER BO% CONCRETE SMALL L/ARGE � <br />- ti'�-6 D�''r � � � � ` � i � � ' �� � <br />� -s aMi-so�s,o. ;r,� , •r`.sfr r�� ��- -� <br />���-�rax8 — �/rC_�S/1![z��_�..., :d�I__— <br />S.�LT�£q—�y��I�� 55'��f�1�.',�(! ---- � I <br />_�s-L _7� � ��_ 5 5i !f.l., ��/-."_ _ - _ _ _ I _-I- <br />V ��'� —� � ---A <br />� � <br />---��- -- — — - <br />-- ..__.. -----�--------- <br />Y/ n t//t!�[J ,!� !�r' .��,t: _ I � <br />� a�, <br />DATE INSTALLED: � (' - / - C'� � OFF <br />�006 I LABJR �'�� EOt11PMENT P[NTAL <br />-_-" I_—_ __--___-�.���_"-___'___ .-_ _ <br />C�'`�- . -� <br />� � <br />NEMARKS: �. :.2 [�_ �i. �) 1 ): 't � <br />-" '-r_,f_-�'- __ . <br />� (��� }ii�}'( � <br />/ _� <br />Y %��1 / 'V % <br />° l l/l,! --'!—'�'Jl <br />- -- -_�I 5.��8 <br />� ���. <br />- -' � /. . i ! <br />' -J'- --�- <br />—� — --- I- �, I--- - <br />SUB �'OTAL ;�r9 j <br />N011p6 I RATE i - <br />�_—_–I_— "__—_". _ :I _— <br />�__�I _. _._ _. __— I ___ <br />_-i . - ___ _" ____ ��_i <br />i <br />_"__ . . _ ___ . __ '_ _ __`I . . <br />,`�,�' �'. 3 • � �� . , � : <br />