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rAPPL.� J� 78� APPL��ATION FOR SERVICE SERVICE �° 532 <br /> No. ( ORDE ,-� � <br /> ��J�,�.,- I CITY OF EVEREi"T WATER DEPT. �,��, ;, , ��/ /;; <br /> DATt` ' �. <br /> � FIXED ��-14� <br /> .�-�' <br /> � DEPOSIT g f C�L'. � • No�� <br /> SERVICEcarwn Rese)—� -�� // -��/ �- ����� �'� �LK. I.OT ADD. <br /> G�?. ' /. �/ / � � ) <br /> OWNER /• L`-L'£-); � C.-r', _l�t.c.'=-Y . _'_CONTRACTOR Y-�-�-�11'�_ ._ <br /> �� //._-fiM1'c <br /> INSTALI=�_METERED SERVICF _ � -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANLE W!TH THE �� � <br /> ORDINANCES AND POLICIES OF THE WFTER D°PAFTMENT NOW E%ISTING �� '- --�L`�� L_ , 1 ./���l, . v�i�r <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SI�Ne�:'X�.-"' _ --�"��- <br /> tdATERIALS I ?i III. I IN. I 2 IN. I I PRIC[ AMOONT <br /> PIPE COPPER-�GALV�--STEEL, ____ I��•�__ I �J�J �j� <br /> CORPORATION �� � � � � __�__ � ��I� ��} �� <br /> .�ii,.�i�ie /r. . � <br /> CURB COCK OT I I <br /> SEftVICE BOX PLASTIC -- C 1 I � I <br /> METER VALVE I _ _ _�__ __ �� __ <br /> METER No..;: . � -�� � r -_ � � TYPE:i,,� , S6 �__ _ <br /> METER BOX � -CONCRETE _ SMALL (LARGE�' __�1 I r �� <br /> - y -- _�J�" IL� <br /> ��'� --! I � � �� <br /> I —I /. ',,� �2� <br /> •-r � , ---I� �_ � ., <br /> � I %� <br /> I li I I � �z <br /> I � ON <br /> OATE INSTALLED: � OFF /.. SUB TOTAL ,'����J <br /> CODE � LABOR AND EOU12A1ENT fiENTAL HOUR4 PATE <br /> I � �'u ���1 �� <br /> � � _J�11`L._. <br /> I „ I :i ic ' 8'� <br /> ' ��>• � • I� I��S� �11 11 `� <br /> � , �I <br /> I � - -- ' � _ <br /> I I TOTAL I: ./�! Id <br /> REMARKS: <br /> _ 1 1 ���C/� _ `..: <br /> �� <br /> .. . . __ . . _. ... - <br /> . __e2L_.�^':'TS <br />