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/►rPL �Op��7(� � APPLICATION iOR••SER�/ICE � aeRviccN� 1G25 <br /> KD. �,OG / 6 ORDER <br /> CfTY OF EVERE'7'?' 'r:wtER DEP7'. <br /> �IX�.D ��-O � DATE $' � Z _I87Z <br /> � DF.POJIT � N 0 _____ <br /> 8[RVIf.C (�YADDIIU�) 6G�Q� EM�cIZ50A,) PL� BLK. L07s— �DD. <br /> OWNC�+ LAIZ21/ I+�/L G / < CONTRACTOR ��LG/_S �jy`p/ ES <br /> ��LAT <br /> INS".AL <br /> I XEREBY APPLY FON TNE USE OF N'ATER IN ACCONDANCE WITH THE _(�-�=��` /� `L�l�'LZ� _ <br /> OROINANCES AND POLICIES OF THE WATER D[PARTMENT NOW EXISTING / <br /> OR AS SAME MAY BE N[REAFTER CHANGED. eicr+co: <br /> M�T[IIIALI $ IN.� 31N. � PqICE �MOUNT <br /> PIPE COrPER—GALV.—STEEL <br /> GORPORATION <br /> CURB COCK O7 � <br /> SERVICE \OX PLABTIC -• G I I <br /> METER VALVB <br /> MSTER No. TYPE: � <br /> MlTE.7 BO% CONCR[TE 9MALL LARGE <br /> —_ — _— I -- <br /> _—I — -- <br /> I <br /> —I _-- — <br /> -- -- — I I _ <br /> , .�L ON <br /> DATE INS'ALLED: �C�LG Sr� I � OFF SUB TOTAL <br /> CODE � LABOp AND EQUIPMENfNENTAL MOURS PATE <br /> � <br /> _ _ . .— —_I _ _� <br /> I I —_ — _ <br /> i <br /> _"_i _'__ ___ _ I _ __— __ <br /> —_I _�,--- _ _ <br /> �_—�) ' _ _ _ <br /> I �C/ <br /> TOTAL <br /> REMARKS_� J .;; i- : � � c C / ! / ". ( T...� � /c"" -� I t' l r -'—' � <br /> ��-� <br />