Laserfiche WebLink
APPL. � 9 $ � O APPLIC;ATION FOR SERVICE SERVICE �° 6 5 4 <br /> rya, ORDER i <br /> ����r" CITY OF EVERE'iT WASER DEPT. �l,_�, -t ;!; ' <br /> � FIXEU DATE_.�___i9� <br /> � i�ri7 <br /> � DEPOSIT g /�c� �- �,Wj'o�' _ <br /> . / i <br /> i <br /> SERVICE (eY AoonE68)���� ��L�"��- �'���' -BLK.�-LOT �� ADD._ <br /> � J � <br /> OWNER_ _- � --___CONTRACI`OR" `�s'yi.YGt,ti i�L-i'-� ."t'.< ' ..p.' 4-"./ <br /> -��'. � FLAT � ' . <br /> INSTAL�_MS�aA�SE—.---�--- — � <br /> 1 HENEBY APPLY F02 THE USE OF lyATER IN ACCOF,DANCE 'NITH THE ' 5 ji ✓ - // � <br /> OFDINANCES AND POL�.^JES OF THE 11'.1TER CEPAHTMENT NOV. EXISTING r/ ���-}.�,�(,,/�.� � .. �-1����1 <br /> OR AS SAtdE MAY BE HtREAF7ER CHAh:GED. e�cHeo: X� , - <br /> MATf.R1AL9 �i IH. 1 IN. � 2 IN. � � PRIC:: AMOUNT <br /> PIPE COPPER GALV.-ST[EL 'r/ ' i �I � ,J[�• i�i L�-Yn <br /> GORPORAI. I _ _ I I _ IL JI� <br /> �RB �o� • _�— __! � I 3,/1s1 <br /> SERVICE BOX P_ASTIC�-• C 1 � I � Y� <br /> METER VALVE <br /> METER No. -�-------TYPE: I '. -- -- --- — <br /> METER BOX � CONCRETE SMALL LARGE I <br /> — -�� y.`'— -----I - I--- — �� <br /> _ l'R L..�a _ � �— ��� <br /> --_ -�1 -= -�,-- �_ - �;_ <br /> - -- - -i �i i � <br /> � ON <br /> SUB TOTAL //� i/O <br /> DATE IN57ALLED: �DFp Y � � <br /> - . � -t <br /> CODE I LRIfOR ANO EQUIPMENT RENTAL I HOURS RATE <br /> I(��_� - — — I—� _ - ,-�'�• _�� . . <br /> �_7,.,,.-�P/7 _ I � - �� � �-, �� �� <br /> , , <br /> _ . .1%� _ �� � , �.�� . <br /> I V.. <br /> � � �_�— - ,_'z�� �'Z � <br /> � I� I <br /> ��`�,l�J--------- --------��'3- � .; II_J�-- <br /> � li <br /> ,4C�ft-r. . , . <br /> 0/ _ ora� �:u 7�, <br /> REMARKS: <br /> _ ___��_ j�7�/___-- _. ___ .____ _ ____-_. ____—________._....___—.- ._-_._._._.__ �� <br />