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/� . ' . <br /> qppL, / J G�� APPLICA710N FOR SERVICE SERVICE N� 3 4 3 <br /> No. ORDER <br /> ����� GTY OF EVERE7T WATER DEPT. � , ;' .� <br /> DATE" "�� � —1 <br /> rtY FIXED <br /> �4 <br /> � DEPOSIT g �C� `C W.O—. ����- <br /> 7 J // /��'lcG:./i�� <br /> SERVICEIavnooaEss)�/13�I —�� � aLK. LOT—J�+DD. ' "� �� <br /> ��f-�y�7LZ.c;C, .{.'��CJ�4_Lr- Lt� '_CONTRACTOR �'-`/J,�_.�.-o-tJU <br /> OWNER'' -- � <br /> �FLAT <br /> INSTALL� MTcT�1t£D SERVICE— -- . J <br /> 1 HEREBY APPLY FOR THE USE OF WA7ER IN ALCOR�ANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER UEPARTK.ENT NOW EXISTING eicHeo: X ' � /��� �{"l���/ <br /> OR AS SRME N.AY BE HEREAFTER CHANGED. — <br /> �,i IN. 1 IN. 2 IN. � PRICE AMOUNT <br /> M4TI:p15L5 � � /� ,/ <br /> PIPE ( �COPPER? GHLV.--STER .__LZ�� I .��� I '"� I��`� <br /> CORPORATION ` I <br /> :CURB COCK �T- � — I '/IG r^ � <br /> _ SERVICE BOX LF,STIC�_-• C I — � I — _��.. <br /> METER VAWE _ _— — <br /> METER No. TYPE: I 'S _ — <br /> METER BOX CONCRE�r- SMAL..L LARGE _ I <br /> __ _ I7/ <br /> i <br /> I��' - � �� I ' I� <br /> �I — I <br /> I�I I _ <br /> I —� _—I <br /> � ON <br /> DATE INSTALLED: / _ 7 _ , � I Q.'�FF SUB TOTAL L�� DO <br /> CO�E LABOR AND ECUIPMENTNENTAL HOUR."i HATE <br /> I(�� I� � s — �� � �— <br /> I ��, �.dL— � ��- �� c i �, _ <br /> � --- —� �i� � -- <br /> � 7� --,.----- , �, ., � - <br /> --� !/ 'I/) I � �- ) l_-,-_ ' ----- �-� -- i- -- <br /> � � <br /> -- TOTAL � r7 G- <br /> RCMARKS ..`) ' /iL� - . ��t', <br /> � � � 3p - <br /> ---�—•----- <br /> ��'- - '---- ----- - <br />