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APPL. ' qg s y� APPLICATION FOR SERVICE SERVICE �° ] i' 'j <br /> 'No. ORDER <br /> l �� / GTY OF EV'cRETT WATER DEPT. � , ` _ ,- <br /> �I �-� DATF1���' ���.1�� ; <br /> � FI�ED � <br /> � DEPOSITS VL�''{°��I ��� W. O. <br /> / No. <br /> f� \I''�n/��, ' )l. Il' / <br /> SERVICE lernooaess�_'�1��"' " `"` ' t'� - �'�"�`� � � � ��` '-.uLK. /� LOT-��AD�D�G_/j�«�fc, �(,,�, <br /> .'j :7,��L_/.--C/��= a <br /> OWNER CONTRACTOR ' <br /> ���. / FLAT � �� <br /> INSTALL �7 Ng�REp�SERVICE — --- �� — <br /> I HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDiNANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. sicNeo: X�� _ <br /> �L1TlRIALS )i IN.� t It1. I, 2 IN. I � PRICE AMOUINT <br /> PIPE COPPER–GALV.--STEEL �_ I <br /> CORPORATION j jI <br /> CURB CJGK OT I � Il_I_ <br /> SERVIGE BOX PLASTIC -- C 1 i I I <br /> METER VALVE <br /> METER No. TYPE: I ?S ` <br /> METER BOX CONCRETE P+MALL LARGE � I <br /> — _—_I — I <br /> �_ _� - �i <br /> -� i - ��i <br /> �-�i -- <br /> - iii� i <br /> �oN <br /> DATEINSTALLED: I � OFF SUB TOTAL <br /> COOE � LABOR AND EQUIPME���RENTAL I HOUfiS RATE <br /> I' __J <br /> i . — __—__._—___ —I "— II I <br /> � i� � <br /> -- � ---i� i <br /> --; --- - ---� _�� II - <br /> � I �� ' TOTA� <br /> REMARKS: S2^vico installed by L'-u11de1+ <br /> 1 CJ'��-� --- ----- - -- - --------- — -- --- <br />