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• <br />Za &ss� <br />APPL. i/ U .� .J � <br />No. 4 <br />_ iCED <br />J ' <br />� DEPOSIT s J 2 S.'� <br />' APPLICATION iOR SERVICE <br />CITY OF EVERE7T WATER DEFi". <br />9ERVICEN� �Ullti <br />ORDER <br />DATF 2 —� --18� 7— <br />W. O. <br />(JA�iL � SL°(. .jS' ' �/ '—� <br />96RYICE /aY �oortes�)�� � 3 Z" �L�L����LTtt� 8L ��- —BLh. LOT ADD. <br />OWNER ��G. / C� �� L' �� CONTRACTOR—���' <br />"�/ " FLAT <br />INSTAL �L!Z—!� BERVIG� — — - <br />1 HEREBY APPLY FOR THE USE OF WATER IH ACCORDANCE WITH THE <br />ORDINANCES AN� POLICIES OF THE WATER DEPAHTMENT NOW EXISTING elcr+eo: X- ,�� ��,��•---- <br />OR AS 511ME MAY BE HEREAFTER CHANGED. <br />....���u � I�' IN. I 1 IN. � 2 IN. I I I I PRiCE �I AMOIINT <br />PIPE <br />R -� GALV. -• STEEL <br />66RB COCK OTJ _ i� <br />SERVICE 90X PLA9TIC •• C I <br />METER VALVE _ <br />METER No. TYPE° __ I 3� <br />M[TER BO% CONCRETE SMALL LARGE <br />�.LL ?7 � /Ai 0_S1i t�{�L 't_ 1�-'�J=-'�=1 ?_ <br />/ / � <br />DATE INS'� NLLED: <br />CODE � <br />_� 1_� � <br />�i <br />---,�/J - <br />V - <br />r 1 � <br />REMARKS: �!7 <br />—`/ <br />� ON <br />_ �l �1 � OFF <br />/ �'' <br />LABOR AND EQUIPMENT RENTAL <br />0 <br />U <br />rJ <br />SUB 70TAL ufN ��r <br />� � <br />HOURS RAT[ <br />_ _I_� __ <br />I - - <br />I—�— --- -- - — <br />'n / I __ I3 _ 00 <br />00 <br />� �_ ��O_ <br />���II <br />TOTAL II J � IZ/ <br />/ S <br />