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S ' <br /> APPL. ��p I <br /> No. .= �' ^ ` ° CITY OF EVEHETT sewvice <br /> APPUCATION �OR WAfFR $ERVICE ORDER NO, <br /> FIXED ��, � / �7y <br /> � n� DATG"b'-�rvJ.-'l�'_ _19�.7. .' <br /> � UEPOSIT f�,j�-� v <br /> W. O. <br /> / No.___ _'___-_._'___. <br /> �9ERVICE �er o ec���_{Q�� 7 f� .�,�J <br /> �/�_ // � - 4 �-- _ ._.BLK..y_LOT'_-- .'AD0.. ._ _' <br /> -�Ll�! _ � .__ <br /> OWNER . G�'rty� �_�_G, _ _ .CONTRACTOR. _ <br /> —_"_"._'_._'.__. ".-______-_ <br /> iN6TALL._.L/�..��QEDSER�V1� . _ <br /> __ __ __ <br /> I HEREBY APPLY FOR THE USE O" W�TEH IN ACCORDANQ' WITH 'HE V <br /> _.._ _C . <br /> OpUINANCES AND POLICIES Of THE WATEN DEPARiMENT NJ�Y EK�SIING / <br /> OR AS SAME MAY BE HEREAfTEF CNANGED L�� �'� <br /> lIGNEO: % ������ _� <br /> �J) M�TERI�lB <br /> IPIPE/f� / ` .. . . �� = IN. I i PRICF� AMOUNT <br /> . C )7/C COPPER -� GALV. �� STEEL '� � �— <br /> � iti <br /> _ - ._ ___ -- ' <br /> COqpORATION --`�� <br /> _" <br /> .'__- _ _.. __.'-. <br /> - -_ . __ ._. . . .. . .___—L/ � <br /> I __ '—I__ . ._.� .'_ <br /> CURB COCK OT - �--' - - -- <br /> SERVICEBOX PLASTIC -. C ��.. . . ._ -._ I ..�.� _- � --� "-- ' --. . <br /> —_— ' <br /> . . _. .. . _ ....i- ._ y <br /> METER VAWE , I I I I <br /> _METER No.� �' s�- r�M)f�TVPc: � �-- <br /> __ "_ _".. <br /> �METER BOX CONCRET � � � I <br /> _ .__ _- <br /> . _ �/�C?�� SMALL LARGE � <br /> '_�__ <br /> ---� 'k_��s G�, �l� �1f; S'�40GSc ( <br /> ��'j/Y—�'S'�1� - _- -- �_ _ - <br /> il � �--- - _ .I � � ---- <br /> -- —, ! - - - - <br /> ------ <br /> ; — <br /> ---- --- � ; - — <br /> � -- _ <br /> � -- - - <br /> I i � -- <br /> IN ON <br /> DATE INSTI.LLED: ) �7 '�l <br /> /�4 / - / '� I n OFF SUB TOTAL <br /> CDOE i L,1BOP �ND EOUIPMENf RENT�L �- - <br /> HOUFq q�T� <br /> � <br /> _____-_ `_ <br /> _ <br /> 1 � � [-~rl_ _� . -I !-� . <br /> _- -_- __-.__ ,/� . ) <br /> _—I _ _-- s�j. L�{7/,��e'(/ �, <br /> ^ .���'// . ' -- <br /> --� — � - �� (�� , �.�f/�F.d' ..;' -- <br /> _"_—__ _________ l .q —_ <br /> -� - ��3-~ r � _ _'_.. <br /> _ <br /> I "_- _._. ___ .. . . . . _ ._. . _. <br /> T07AL <br /> REMARKS: __ <br /> __—__— _ . '.' _ _ <br /> _ ._ . . . _ .. _. . . . __. . .. _. _ _ ._._. ♦ <br /> _ \ . <br />