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i <br /> wP�•�(��� CITV OF EVER�T T ORDERE NO. '. � '� r� <br /> No. <br /> APPLICATION �OR WATER SERVICE // ti <br /> DATE�L-�p--���-�- <br /> � FIXED � N(J�y �-� j�7� <br /> �O O � � - w.O. <br /> � DEP041T �.�j_ T � _ <br /> 1fiILITY DEf���,/,+�� �,'t,c• S' .,� ,�� <br /> �7 'S �+ fira-b.n -a BLK.13--LOT«��%�1)0.4:�i:C . <br /> SERVICE (BV AOOREea)_1L�� 'C�-+`-�-��-r-- C� �y <br /> ; �7 <br /> OWNER ��� . �1�✓.!� L! {.•••�GONTRACTOR -- — <br /> � ��+ ����FLAT� <br /> INSTALI���{t.__METERED SERVICE----- --� <br /> r <br /> I HEREBY A PLY FOR THE USE OF WATER IN ACCORDANCE WITH THE - -�, <br /> ORDINAHCES AND POLICIES Of THE WATER DEPARiMENT NOW E%ISTING ��{.,�_," i) ' ,_�/di�'-�L.��L`7L-- _---- <br /> OR AS S�ME MAY BE NEFEAFiCR CHANGED. eicHco: X .. —,�-- <br /> MATEHIALB � R IN. 1 IH. I 3 �M• I_�_ _PA��E AMOUNT <br /> / <br /> p�pE ( GOPPER�GALV.-STEEL _ J� _�.__ _- <br /> -� _ I I i <br /> CORPORATION — -- <br /> — I <br /> CURB COGK OT I I I_ _ <br /> SERVICE BOX PLASTIC • C I I ' <br /> METER VAWE . _ — <br /> METER No. �-- _� TYPE: I `S _ _-- --- -- <br /> METER BOX CONCRETE SMALL LARGE __ __ <br /> I =� I <br /> _ i <br /> --� - <br /> i __ <br /> -- --- - -� - - - <br /> -i i �� <br /> �' ON <br /> SUB TOTAL <br /> DATE INSTALLED: // /��.. 7 �J � C�FF <br /> LABOR ANO EOUIPMENf RENI'AL I XOUHS RATE <br /> COOE � - / . <br /> 1 / � I �/. <br /> I .-��.f l� '/J. .:J. . .").�•: . �T �/ <br /> _1 � . l <br /> I � � ..� _ I�- <br /> -I -- ;rt- ��I_L.- --- <br /> � � � -- <br /> �-- -- <br /> -� -�-�----- I <br /> =ii -- -- -�--- <br /> — TOTAL <br /> REMARKS�. �. � : - _' �'/ :�� � __ _� �_�--_-�.---,-. <br /> �1� <br />