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� <br /> � � � SERVICE � �' I <br /> No. ,��11„1}"'x;�� C17Y OF-EVEHETT ORDER NO. � - <br /> APPLI�ATION FOR WA7ER SERVICE �� -�� <br /> � FIXED DATE_�aC��-19 /�. <br /> W. O. <br /> � OEPOSIT s No.-- —_ — <br /> v � . <br /> -� �_ (i" /� � � ' �j�.' <br /> � ' /2ti1."� �2 /,f.!/.0 <br /> SERVICE 1er♦ c�/�te,se) ��w ? --.BLK._ LOT..�_,7 hoc.-- n ' � <br /> OWNE���-</;[ t�-�yC�"L��L�_--�� �d-GONTRAC70R ___ 'y<Y _ <br /> `� �� 1A f <br /> INSTAL� � ��AgTERED SERVIG — -. --- � - !- ---- <br /> I HERE6Y APPLY FOR THE USE OF' WA7ER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WA7ER OEP�RTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcNeoi-X' - -�- � -- � ----- <br /> — "__ MATERIALS '� °,i IN. 1 1 . � ]�/IN. ', I PRICE �MOUNT <br /> ��- fL:aSr'(G � COPPER -. GALV.•-STEEL _yS � _ _ I� _�__ � — <br /> �—_-_ I 1 I � I _�_. <br /> CORPORATION — <br /> CURB GOCK_OT __I I I I_ _. <br /> SERVICE BOX PLASTIC -- G 1 I �-}�I-- __ .. <br /> METER VAWE _ -- __ __ _��_ __ I--__. --- ------ <br /> METER No. : . ' P J .+.:v TYPE:Q���YC(�_I_—L_ ___ —_' _.- <br /> - — .�""-�r'r—=-- � - � -- ' ` ------ <br /> METER BOX/ GONCRET ���f?` SMALL'� LARGE_____ �__ __ __ <br /> ,- K - ��._�__ ' .� I <br /> .� !!— ��9 if �'; I _I _'.. _— <br /> — — —f- <br /> _T � ,S� G- ?�yTr1 P S�o�r _ ---�--� �f �-- --- <br /> ---��d— 1�—� I — — <br /> ---- r— --- -- i--� �I---- ---- - <br /> - ---- — �� --- - — <br /> I I I ! <br /> rtY ON <br /> ' SUB TOTAL <br /> DATE INSTALLED: %;'�- �, � . � J� OFF <br /> COOE � L�80q wND EOUIPMENf RENT�L HOl1R5 I RATC <br /> � - ------ --- -- =z�'r----� -'�--- -- <br /> � ---- °" ' ��,'.,A� I .� - — - <br /> -- ( r, l I = _— --- <br /> � � -�— --- — _ <br /> ' '' I� <br /> _� ���- �_1��_4_e I�- — <br /> _i r�3 cr� _--�--- — - <br /> —� ------- -- -- ------ i <br /> � <br /> TOTAL <br /> � REMARKS: ___'__ _______—__— __—.--.._--- - <br />