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A�PL' �0��� APPLICATICN FOR SERVICE SERVICEN� � Q � !� <br /> No. ?�� L�� o <br /> " CITY OF EVERE�T W,�TER DEPT. ORDER <br /> �XED DATE ! I Q_19 J Q <br /> � DEPOSIT g � � �' � <br /> �---__._ W.O. <br /> / No..._ � <br /> SERVICE (6YAr ggej��j I(� � �-7 ��I � � �2/- i <br /> ELK. LOT_�ADD. L��_i.�� /f�iO/i� <br /> O\YNER— �f� :/_✓i L/ F/ A � �����,- <br /> .�� �� �-�LA,r -._CON7RAC70R�_'bQ�n/'Pl'_ C+E.A! fONST I <br /> INSTALL' ��Pqb.�sp SERVICE__ �`I� � �U /TE ��FLlG7�c; � <br /> I HEREBY A2[�I.Y FOR TI{E USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINAIrCES AND ?OLICIES OF TFIE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAF7ER LHARGED. sicrveo: X_ ' _� ��!'I` . _ ..F L � <br /> IAATERIAL9 � - �-� <br /> I �� �N.� 1 IN. � Z �N. �� pRICE AMDUNf <br /> P�PE r:OPPER-- GALV.•- STEEL_--I' � <br /> 9 ' <br /> CORPORATION �"�^ // I~� � <br /> -- � / � �_ �I ��%:- <br /> _CIQRB COCK <�' � ��I���777 <br /> 5ERVICE 90X PLASTIC CJ�—� I - i�i �-��. <br /> METER VALVE - _ <br /> _ METER No. TYPE: I_ ;a — -- � <br /> _ METER BOX GONCRETE uM�aLL LARGE _ I � <br /> — -- (5�t. - /35 ,_�{�7 . I _-_I __�I ��%. <br /> — _ C;.w � � --I— ---l�f-- I���-11__- <br /> - -- � -�I I �_-_ <br /> � I -�-� - . _ <br /> -�--- <br /> � ON <br /> DATE INSTALLED: LOFF / � SUB TOTAL ���'=�lJ <br />' - �__` 7C/ - % � ❑ L <br /> _COOE I LABOR AN� EqUIPMENTR[NThL <br /> ��—I /�/,/. � � HOURS R4Tf -- <br /> l I <br /> __I ��" I LL r�� �—I • (�_ <br /> � �.�_ �. � � -� 'I _ � <br /> � � �� —__ <br /> I� :� 7 -- -- � � „ ; �i �-- <br /> _ !�� 3� - - - I <br /> _ � -��- ` �- <br /> REMARKS: / TOTAL �J�7IG��, � <br /> � � -------- �� - <br /> --- f <br /> --- -- ------ ___ . � , <br />