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,. .. ._. <br /> _ �:';: <br /> -�.�r <br /> ;�. <br /> � <br /> �� ��; <br /> ,�.%�, <br /> ��s�� <br /> �'�=` � . <br /> { , <br /> �� <br /> A�< <br /> , , <br /> �;�_, ,�s ;�� � <br /> ���� <br /> r:, , �, � <br /> y,., _ <br /> qpp�„/g��� APPLICATION FOR SERVICE SERVICE t�o 2 S � <br /> No, ORDER <br /> �9 J,�� CITY OF EVERE7T WATER DEFT. oATE��'��(' ,9�7 <br /> � FIXED � <br /> h�l DEPOSIT ���� N•--�-- <br /> J4 �[£.�-cc_,� <br /> � / k � <br /> SERVICE (Bv nooneee7�� �D � —��J' BLK._�I _LOT_�-J?�.DD)- �"J <br /> UWNER _— CCNTRACTO$/�'� �� �"'�"'���"'J — <br /> r ��PF ,$�/ <br /> INSTAL ��METERED SERVICE — �-�-- � � <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORpANCE W�TH THE .� �}. <br /> ORDINANCES AN� POLICIES OF THE W�TER DEPARTME�T NOW E%ISTING B�GNED: X��,/' ' '� "'���— <br /> OR AS .^AME MAY BE HERE�FTER CHANGED. <br /> --- MATER:ALS �n' IN. 1 IN. � 2 IN. I I I PRICE AMOUNT <br /> PIPE ��%OPPER - GALV.••STEEL y � � •� �✓� <br /> CORPORATION � — � � <br /> GURB COGK OT I I - <br /> SERVICE BOX PLASTIC -- C I I I �I <br /> METER VALVE � __--- -�- <br /> —� —)� 3 �3 <br /> ME7ER No.I/QS9� ly7J.SC+G STYP�j,.,�j;.,.,_,. � ./w — _ /� 7 <br /> METER 60X CONCRETE SMALL LARGE � I•=^ <br /> G�s�.��� l. kL�- 7 ?k' l � _ �� l.nl/i � <br /> --- � � �� <br /> I I <br /> i <br /> I I � I i <br /> � �" 5�f O�{ <br /> �ATE INSTALLED: OFF / SUB TOTAL <br /> ' ` / -1 "� � � k. l:,_.�.e- - <br /> COOE L�lOP ANO EOUIPMENT RENTAL HOURS RAiL <br /> � _ � , . _� I�1_:- ��' <br /> ll..'L� <br /> � �__ �I I J I � + <br /> I� � � — � - <br /> . _ �� _ ;i � <br /> i I I�_I__ <br /> I -- ---- � <br /> � I __ <br /> I I TOTAL pl� <br /> REMARKS: ___ __-- ------- � <br /> . � � � ' . . . . � . '�,:''.t�:. <br />�4:''4�'�'-. <br />