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<br /> A�PL.'��G j / �r� ; � A�PLI�TION .�R SERVICE � � oaoE�R E N �- �.3..� 4.. �
<br /> `�i'1-�'�°� �'�'_'�`•�' CITY OF , EVERE WATER DEPT. �
<br /> +}`..�..� � �'�.i,��} � n 'ie�: �. � . . DATE +�T I cP' 1G 70
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<br /> I HEREBY APPLY FOR TII[tUSE{OF%WATER IN ACCOFJ�NCE KITH 7TN� � i1 -
<br /> ORDINANCES AND POLICIES OF�THE WA7ER DEPARTMENL NOW E%ISTING ' . �' � � �• � �.�r
<br /> OR:AS,75AME MAY BE NEREAFTER•CHANGED. , .�. �'����•.-. LLt. .�iaN[c:X � -
<br /> ...p... . �:•.MAT[RIALf.. .-• - . : 1GIN. 1 IN. � 11N. I PRIC[ - AMOUNT �
<br /> p�r���'�-� � COPPlR GAW.-STEEL ; / � �J
<br /> COR�ORATION � �-Z�.i:.i�i� �- � � . _ ..- : .� �.., .:, ^�
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<br /> MGTER VALVE � _�_ —
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<br /> DATE:INSTALLED: � ;,iY O�. �'I�,.;,;; • P l� r 7� �
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