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! AP � �� ��' ^ APPLICA'fION FOR SERVICE SERVICE No � �g q <br /> I No <br /> I OP EVERET�' WATER DEPT. ORDER <br /> I o- DATE_��(�._I�� <br /> 1 <br /> � DEPOSIT 5_l�� � W. O, _ _ <br /> No. <br /> ISERVICE (eYwoDRess) � �� ? � �' v T _BLK.__LOY'� Z�ADD. .. _ _ <br /> I OWNERCI.+ �A�� _ S��NN _ CONTRACTOR <br /> ' 31 �i � - --- <br /> � INST�L METEREU SERVICE <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITH THE <br /> OROINANCES AND POLICIES OF 7HE WATER DEPARTMENT NOW EXISTING /1/1 .' <br /> I OR AS SAME MAY BE HEREAFTER l'HANGED, sicHeo: X..�-�=�^.-Lj__ <br />� � MATERIALS � IF. 1 IN. I � �N• I I Pp�CE AMOUNT <br /> r i PIPE �O E-GALV.-- 5 SEL _ % � ���I _�— <br /> i I CORPORATION I <br />� � CURB COCK OT I � <br /> �-- — _ .. <br /> SI ERVICE BOX PLASTIC -- G I I <br /> I METEF2 VALVE <br /> L__ <br />' EER No. 5�c1.'s TYPE: T'�_—_�I `S I'3 ____.. <br /> i- -- --�� --�,-� - --- - <br />� METER BOX CONCRETE SM _ L _LARGE � _ <br /> j ���� � I= -- - -- _ - <br /> � <br /> � � <br /> � I — � - <br /> --i �—i -- <br /> i <br /> I � I � �- -- <br /> ( �N _ <br /> I DATE INSTALLED: � ❑ pFF SUB TOTAL <br /> � GOOE LABOR ANDEOUIPMEN'fR[NTAL � HOUFS RATE <br /> �I�-uc-c�XL�n . _'_. _--lil�_ _"__ <br /> ' (-Y� "�-' •. ' I.-`L-_— --_ _ _. . <br /> I — — <br /> I ,�/ � I_� <br /> � ',�-7� � -------- � -- - <br /> �_ -�-- ---�-�- <br /> � TOTAL <br /> I REMARKS: � / ' �j 4+�� p ii <br /> i_ �/_lf,���/-f.�f�---�ee.-=-�-�i� --/--sP-�s��.,+Cce.p ax�-- - <br /> « •r � <br /> � <br /> � <br /> : <br />