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APPL. LI SERVICE I <br /> No. �71 �J T �� rY OF EVERETT ORDER I <br /> APPLICAfION FOR WATLR SERVICE / �{° 592G�r� .. <br /> � FIXED DATE�Sa.�.I.�-_-1841L �i <br /> , / 0�.� <br /> � DEPOSIT S (p�� N�_ -_- ., <br /> SERVIGE ^(nr nooRcss) C2-L5 � �O� �_�JG CJE _BLK._ LOTaU ADD._�JCS7�_'l`� ! <br /> OWNER�1�.���'�t-�-CONTRAGTOR�'^-`pv -.-- ------�- <br /> �,/ � ii <br /> INSTALL'LK-.METERED SERVICE -.___._-_---- --� - <br /> I HEREBY APPLY FOR THE 115E OF 'NATER IN ACCOROANCE WITN THE � yr� � <br /> OH ASASAME MAY BELIHEREAFT RH C ANGE D OEPARTMENT NOW EXISTING SIGNED: X�l����l.�-_�i2p��'1t�"�-1__ - <br /> MATERIPLS - Y� IN. 1 IN. i, 'IN. I � PR� AMOUNT I <br /> PIPE COPPER-- GAW.-- STEEL I I <br /> GORPORATION -�__I�_ _� �I <br /> CURB COC K OT I I I __ I <br /> SERVICE 30X PLASTIC - C I I � _ <br /> -' __' - _ _ __ <br /> METER VALVE <br /> -_ __ ..- . . -- _ . ._..__ _ .._- -__ __._ _ _____ -_- __._ <br /> ,.tETER No. TYPE: I �i <br /> __- ...__.._ . ___ ' ' __ ' _' ___ _--__ _- _ . . _'_. _-_ _-_ <br /> METER BOX CONGRETE SMALL LARGE <br /> _._ _-- - �---�-�I- .- --- <br /> - ---- -I <br /> - -- �--�-�- -- <br /> -�-- i- -- - <br /> - --�-- - <br /> -. - I -I-- ---- - <br /> - - ----�- �- i---,- ,-- --- ---- <br /> ON <br /> �ATE INSTALLE�: ���a/�� I � OFF SUB TOTAL <br /> COOE � � L�BOR AND EOUIPMENfRENTAL HOURS RATF <br /> ��—���`f. � � — -- ---I--- ---- <br /> I � <br /> I --- I — - <br /> — -- -- -- -� -- -- <br /> __— ------ -- - -- — <br /> I _ _------- — -_ —I---- — -- — <br /> I _ � <br /> i ------- - -- —�--- — ---f <br /> TOTAL <br /> REMARKS: <br />