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NoP�' , �2'� / �.,J� CITV OF EVEHETT ORDERE N� �SA`Q� <br /> � APPUCATION FOR WATFR SERVICE O�re _ _ � ` '�te�,�� <br /> � FIXED �.Y TO POSTING -� �- <� z - - <br /> n �EP�S�T +--Y-.C� .�. .�. �O�- - -. . _ . . - -- - <br /> 1 <br /> BERYICEiw �Om•[ul- 'X-I�.�� .JL��/�_1� 1L�1--J �LIBLK. -_ _ ..LOT - ADD. _ . . _.__ <br /> )� / �' / , <br /> OWNER__l�(_�C.CI�.'.���.-L! (( �_� CONTRACTOR __ <br /> `i ) I( ���� �7 7 <br /> INSTALL �,Y-f�N�E�TERED lERVI�-. yC.. . I J d G �'_G . _ _. _._ . _ _ ._- II <br /> I HEREBY �PPLY FGR 1HE DSF'�F11TCR IN ACCOR��NCE WITH THE ' , � <br /> ORDIN�NCES AND POlICES Of THE WIITER UEPANTMENT NOW EIlISTING � / / <br /> OR �S SAME MAY 0E MLREAfTER CXANGEU •IGN[O�. % ` � - t � ( �. �/ l L `---�- . <br /> M�TERMI• W IH. 1 IN t IN. � PII C[ •MOUNT <br /> PIPE COPPER �- GALV. �� STEEL I ' <br /> . .._ _ . . . _ . ' .-' _ "f'___ - �. __ . __-__ <br /> CORPORATION � I _ �� . <br /> .___��... . _ _ .._ . . . ._ ._-_ .. .____ __ . __ . _ <br /> GURB COCK OT I I <br /> --_.__ " _ .... .. .__�_•__... . _-. _-__ --_. <br /> SENVICE BOX PI.A9TIC •• C 1 I L_ <br /> __' ..__ .. . _ __-___ _ . . _ .. <br /> � <br /> __-_ E <br /> _-_ '.. ...,, ._ __ . . . -_ __-. __'_� <br /> M <br /> METERNo. , ,� c�� Z 'IYrE� �CLCCYGBk.I `t � X __I__ <br /> METER BO% CONCRETE SMALL LARGE i I I <br /> _ _ . . ' _" ' -I � - <br /> __-. ._. _ ___ - . , '-I _ - <br /> _- _'-_ . . . . i . __'_ _ .. _ — <br /> � <br /> _ __ <br /> __'____ - __ " ' _ __ __'__ -__ '_-I -_ _ — _ I <br /> � � i <br /> _ .. _. __ . . . . . . _ _ . . <br /> ____ ._-_- _ _..- ON <br /> DATE INSTALLED�. � /3 - G,U I �n OFF SUB TOTAL <br /> / <br /> �CO [ LAOORiND [pU�PMENlR[NTAL MOUPf R�TE <br /> '',1�1 L-� _ _ _ __ r-- <br /> ----- ------- --- - <br /> � <br /> - - -- - ------ -- i <br /> - ------ - - -- --- --- <br /> � i <br /> __I - --- - �_ <br /> TOTAL <br /> REMARKS� !��' . iV ! At/4-� " �� Y._// . . <br />