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APPL. ^� nZ (] <br />No. L l �� <br />�X�o <br />CITY OF EVERET� <br />APPLICATIf�N FOR W,\TEH ScRVICE <br />-�/� � `�� <br />�� <br />�� �`'"�` N° 7 6 8 3 <br />ORDER <br />DATE ����__19__ <br />.L J <br />� DEPOSIT s � —�'0 P�iST[fdG��1�1-.�_ NOO. __ <br />9ERVICE Ur wcoerae�—�- J�11_L�OLK __LOT�noo �ABROOK II <br />COLONY CRAFT <br />OWNER _ . — CONTRAGTOR.. <br />3���n FLA." <br />INSTALL —METS � �ERVICE—._._—.._ __ ____________ <br />I XEREB� APPLY FOR THE C .�F WATER IN ACCORD�NCE WI7H THF. <br />ORDINANCES hND POLIQlS G.'�E WATER DEPAHTMENT NOY! EXISTING / ,� `� <br />OR AS SAME MAY BE HERE'r' E'�� CNANGED. s�cHeo� —_ ______—___ __ _. <br />M/.TERIAL6 I� IN. I 1 IN. i 3 IN. I I I PRICE �� AMCUNT <br />PIPE COPPER -- GALV. -- STEEI- _ � <br />CORPORATION I <br />GURB COCK OT <br />SERVICE BOX PLASTIG •- G I <br />METER VALVE <br />/ J ^ _.. _ _— _.. __— _- ____. —_— <br />METER N�• rf�/j-'pL CJ__ ....7VPE���q(J/�Jv I �;, �.. <br />METER BOX GONCRF.TE SMALL LARGE <br />DATE INSTALLED: , <br />:d.] l <br />—' _ <br />REMARKS: <br />� ON <br />� 2 �93 � pFp SUB TOTAL <br />LABOP AND EOUIPME�If RENTAL I HOtlpS RATE <br />I <br />- _____'_-_'_-' ___-_ <br />I <br />___ ____ ____ " _ "-"--__ -'_ ____ <br />__ - _ _ - _r}e-�tciiof`i_-- <br />TOTAL <br />