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APPL.. 8� BERVICE <br /> No. - /' /" � / CITY OF EVERE7T ORDER Np, <br /> APPLIC�TION fOR WATER SERVICE <br /> �� FIXED DATE J.�^ 1-1----_'-10:��_ <br /> ('_� DEP091T s �1��_ , .��. �. W.O. <br /> . .._- No.___ -__"-_ .__.__.__. <br /> SERVICE I�V AD�R[s�l_ � �. � � L �� f/L� ,a�l`��l� )1�_' _'BLK..(:.�1 LO ��Z ✓ •�, �' <br /> _� <br /> - �i____ _ADD.�s_i�.._��' __ <br /> CWNER_�l(-'f./�.)L (? . �. �:Y�� . _ . . .. __.CONTRACTOR- <br /> ._-.._.'_'__- ... _. . -__ '_'—_ _ <br /> �LAT <br /> INSTALL_.�_, _.4METERED SERVICE_� ___ <br /> �- ._ ._ -_-_ _. ____. . . � . . ._..___"'_ _ _ <br /> I HEREBY APVLY FOR THE USE OF WATER IN �CCORDANCE WITH THE "- - . <br /> ORUIN�NCES AND POLICIES OF THE WATER DEPAflTMENT NOW E%ISTIN6 <br /> OR AS SAME MAY BE HEREAF7ER CH�NGEU eicHco: % �c:�-.c� . �_i �y,,` , _ _ <br /> MATERI�L� u IN. � 1 IN. 2 IN. � � PRIC[ AMOUNT <br /> f'�PE COPPER- ALV.1-STEEL � ��g I�—I ' <br /> _. —___ . . _____ - . ._. ._ _-_. I .___I. <br /> CORPORATION � . . � <br /> -_-_'_-.__.. . _ _ . .. . _ . __ ____—. ..� . <br /> '�.. "-_ _.. -.___ —_ <br /> CURB COCK OT � <br /> ._" . .._-_ I <br /> SERVICE BOX PLASTIC -- C I �' � ' � <br /> _'—'__-__'_. _ __i-_. ._ _ _ . <br /> METER VAWE �1�l�(� � 7 . <br /> ._-_-_-__-___ .. .c <br /> �ETER No. f'�f.f�/ �. 7YPE:C/ti/�L.CN I .� i ',.. , . __ _ � _ _-__ __- <br /> �ETER BOX CONCRETEJ SMALL ��RGE � �/ � __1__ <br /> �x G.�c- �.v� r,an, s��,yt,� � 1 �__ — — <br /> -7„ C. /. �y�, .7�- ,; I _ ' 4 , __ — <br /> ---- <br /> , � <br /> - --'� -_�.. �,�. iJ �t�ii'i�� �: l ---- <br /> . — - — — <br /> -- — <br /> -------" ''K 1�� �' �, d�u'P�C i1�' � ,.S� i <br /> ,P� MF_TJrR KL .9NG E,T .— __ __ - ,1- _ _. . . . _ __ .. _-- <br /> . __. ._. _ _ -- - - �I ---I—�--. I. . _,-- <br /> � ON <br /> DATE INSTALLED: �/� �)� �� I n OFF SUB TOTAL <br /> 1 <br /> COO[ � LABOP �NO EOl11PMENf RCNTAL ' HOUP� R/1TE <br /> �I I � <br /> —�- ---- C>',� _ _ __ <br /> � �r...,,...�.--�_ � --- — <br /> ���..��'� ��/ � � <br /> - ; � - -- - <br /> --i-��-� -�-- - A'." - �! - __ _ - <br /> ------=------ —._ 1j �aG�' C,t <br /> _____ <br /> ---- -- - _ _ ._ <br /> � — -_ _ _ <br /> ---I--- — - - <br /> - - - <br /> — I --- - <br /> TOTAL <br /> REMARY.S: . <br /> _ . .L_/ P_ . ' _. . � ."_ <br />