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AP�L �S�o b I <br />No, <br />� � Fixso <br />�� <br />ry/ocroair s S'D d -- <br />� EHVICi (�YADOIItl��� <br />OWNER '"� O/P <br />/ �/ ..!'� <br />� <br />CITI' OF EVERETT <br />` APFLICATION FCR W,4 E9 SERVICE 'v <br />7`i`Y-`�so� <br />onoiR� rv 446G�, <br />DATR�L_L.__' O lL�� <br />w, o. <br />No. ,__.� <br />d, Grt o2�/2 o F_ <br />-�� �� -•�� BLK. LOT_�•J10D �r � <br />rri 6ado�✓f.q Ee <br />�� _r_ONTRACTOR�S'4 n`e __ <br />1 HEREBY AP►LY FOR TH[ US[ Oi W�TEfl IN ACCGRDANCE WI7H THC <br />OPDIXA�CES AND POLICRS OF TNL WA7ER OE�ARTN[NT HOW l7fISTING <br />OR �5 SAM6 N�Y B6 HEREARfR CHANGkD. s�ar.¢o:X � <br />M�T[�dlLt _ L' IN.1 � IN. � 2 IH. <br />L <br />PIPE � COPPEq �. GALV. - STEEL IA I I <br />CORr('�RA <br />GURS COCK � OT <br />SERVIC6 907L <br />M6TBR VALVC <br />M6TRH NT o. %�� <br />� <br />PUI3TIC - C I I <br />PE: .Qfi�l fS �� <br />�LA aGE <br />/" I <br />�i%�� �.h �% � <br />I Y . <br />/1 i� ON <br />DAT6 INSTALLED: v�� �^ �'i -� pF+ <br />COD[ I ~_ L�d011 MD[OUII'M[Ni N�iNTAI <br />��� / � � � <br />I T <br />I _—_ <br />I <br />I �___ <br />I <br />REMARK3: <br />CIT`! OF EVcRET'i <br />APPLif,ATION FCF WATCR SERVICE <br />� <br />� <br />5UB TOT.1L <br />NOV�e I RATE <br />TOTAL <br />SEftVICE <br />UF,DER NO. <br />_`�' �' � <br />E' 1qlTT. W6/MIM6TON._ _.Ib <br />FGCEIV's0 OF " �c'�. "��' —' ^ —3-- <br />✓ 4; <br />Ttl� SUM OF _ ����": ' /� b0}LAR3 �—GENT9 <br />FJIi� (/ COMM6CTIOK �TlLN _1CT__l:i �_AGu ,�J �Pf �Cn�J <br />n:a ,,, e v,��;d�� ✓Z.n�iP �c,� <br />r;�. _ i(J�/� '�2/,f-�__. srReer t. Fixen_s <br />1�'' ���_ 2. WATER_f <br />__�JL�-�-!'�-- .— ._" _ <br />T.rP � - w �;?p�. ��� <br />/' 3. OEPOSIT� 7 <br />P:o..__'___��yZS---�.._7 iJ�--�"'�_�.�..__ <br />s _.) / __ <br />AMOUMt <br />44G6 <br />� <br />' <br />