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! AP �% A�PUCARtON FOR SE�tVICf SERVICE Nn Z � 5 Q <br />� N� I`� O�- � ORDER <br />. C � T Y O F E V E R E T T W�. T E R D E P T. I� 1 �7/� <br />� �FIXFD DATE_(r�/._��_1g/F� <br />�� � U � / <br />I � DEPOSIT g!�J._ 00. <br />' �(�/ /1J /�T..� Go r .3 /�v �C-��� <br />� SFRVICE (BY AODRE98) �+ ! Z� ����j-�"�� "`JP�_BLK. L07 ADD.—��.__ <br />i � <br />� OWNER� �-��%�->� _ CONTRAC70R _ <br />� � FL <br />� INSTAL TERED SERVIC J^�/ <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � / \ <br />i ORDINANCES AND POLICIES OF TfIE WATER DEPARiMENT NOW E%ISTING �� _�� / y�/ - <br />' OR AS SAME MAY BE HEREAFTER CHANGED. sic.�eo: X_ �� �� <br />��__ <br />i MATEFIALS I% I1L I I IN. � 2 IN. I � I I PRICE �� AMOlJt1! <br />� PIPE _ COPPER • GALV. - ETEEL <br />�.'�,: I CJRPORATI ``' -- ___.__ <br />�s3� �/ m� <br />c. y�!.. <br />ih�� `:. 1�"—'�"Jl7l.1a—�-s �_. .--_ <br />SERVIC tlOX� PLASTIG - CI <br />,, �— --- --- <br />.. � METEh VAWE <br />�METER No.��, 7��f"_� TYPE: .�+���"�- I-� <br />!�METER BOX CONCRETE SMALLj LARGE <br />DATEINSTALLED: <br />COOE � <br />Vr /� <br />J`�Y�i �i- �1i <br />OCn. <br />N <br />�^.��' ,� � OFF <br />LABOq ANDEOUIPMEN'fR[NTAL <br />REMARKS: i �'� , ' <br />0 <br />� <br />SUB TOTAL <br />HOUR.^aI RAT[ <br />7 <br />7 <br />7 <br />TOTAL <br />