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I ��Q <br />� APP�.�,��y� APPLICATION FOR SERVICE SERVICE No Z�36 <br />' No. <br />I �L �� CITY OF EVERE'fT WATER D'cPT. �RDER <br />I 1-tiFIXED DA7E-�L'� _7g� � <br />M`� <br />i � DEPOSIT S ( ,� �) , . �_�'`j W. O. <br />No._'_ ---- <br />� � „�/���/�, �!�'rp�(J d� Z� —2�'s <br />I SERVICE (BY AOOREeb) �� Z�� ���'.� _BLK. LOT-__—.ADD. <br />�� OWNEH.L.6�L���._I_�L��'��j�'� ._CON7RACTOR_ <br />� INSTAL 3 FLAT <br />� --�- <br />� I HEREBY APP Y FUR THE USE OF WATER IN ACCORDANCE WITH THE �j ^ � n r /� <br />ORDINANCES AND POLIQES OF THE WA7ER DEPAflTMENT NOW E%ISTING Y �� ��� 11 I I/ <br />I OR AS SAME MAY BE HEREAFTER CHANGED. s�cN¢o:X � --V �41� <br />' 1 -- <br />MATERIALB I�^ ���• I��H� I��N. I I I I PRICC �I MOUNT <br />PIPE <br />CORPORATIOK <br />CURB COCK <br />SERVICE 60X <br />METER VALVE <br />METER No. <br />ME'ER EOx <br />Cn o r.� <br />� COPPER • GALV. - STEEL _ �/ <br />_ � <br />OT <br />PLASTIC • C I .` � � <br />TYPE: � <br />CONCRETE � SMALL LARGE <br />� (7S oN <br />I DA7E INSTALLED� OFF <br />/ -�-r'/ - y3 ❑ ,� <br />! CO�E � L�BOR AND EOUIPMEN'f R[NTAL <br />�-- L��l�-- <br />I —. — <br />I I <br />I--j — —_ <br />1� � <br />RCMARKS: <br />� SUB TOTAL <br />MOUHSI RATE <br />TOTAL <br />