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i <br />��-�i/�.�6 F, <br />APPL. • � � SBRVIC6 •- i <br />No. h/,n,lg . CITYOFEVERETT ORDER NO. ��l�J-�_ <br />��`'�� �f� APPI.ICATION FOR WATER SERVICE <br />� !*IX6D C Q���� �U OATE 5�G '-1� <br />,�- oE�oeir s�! i h�/D• � T/te.u5 /zcvT'et %9!(oU ry o. __ _ <br />BERVIC6(�YADDllptl���•.SG /59r«- /.Iiir'J'y� 9LK._._.__LOT—_AOD. - <br />OWN[ �aG X � ��Jr GONJ_L)ULN'�TRACTOR_ _-__ _ <br />IN6TAL� , FEfERED SERViCE— — --- <br />�__ ___. <br />I HENEEY APPLY FOR THE F�F-WFTER IN ACCORDANCE WI1N THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTIHG <br />OR AS SAME M11Y BE MEREAFTER CHANGED. •Icr+[o. %- __._ _—. ---_._-.— -- <br />MNT[Rl�l� �4 IN. 1 IN. � 2 IN. I ���CC AM011NT <br />PIPE COPPER •• GALV. - STEEL I�I�I �i— <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C 1 <br />METER VAWE <br />METER No._�.) /. 3__.�, TYPE:___ _ . _._.I. ". <br />METER BOl( CONCRETE SMALL LARGE <br />OATE INSTALLEO: yI/.3��rG I r OFF <br />U <br />COO[ I L�BOP ANO EOUIPMENf RCNTAL <br />REMARKS: <br />,A�Nc `-l"- <br />SUB TOTAL <br />MOUR� I RATE <br />I <br />F�7. . .' _ _.'__-"_ _._"_'_-_ __—�- I <br />