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A�L D/�� APPLICATION FOR SERVICt <br />"°. � CITY OF EVERE7T WAT�R [7cP�' <br />�C/�.i : <br />i: <br />� FIXED <br />/� �C� <br />� DEPOSIT _{�_�lL -- � <br />i f' � <br />��IJ� ����✓ 'C%�' I .OLK. j_ <br />SERVICE (BYaooaess)-_ c,__ � <br />�%, / " FLAT __ __. \ � <br />INSTALL'—�_�� —METERED SERVICE— \ <br />I HEREBY APPL'! FUR TNE USE OF WATER I11 ACCOROANCE WITH THE <br />OR�INANCES AND POLICIES OF THE WATER �EPA3TMENT NOW EXISTING slcNeo:X_�t <br />UR AS SAME MA`� BE HEREAFTER CHANGED. <br />I.IATERIALS ii 1t1. 1 IN. 1= IN. <br />/.-noocta � GALV. -- STELL I I I _I___ <br />pIPE <br />CORPORATION <br />CURB COCK <br />SERV��B� <br />METER VAIVE <br />METER No. <br />METER BOX <br />CI <br />TYPE: I 3fi <br />CONCRETE SMALL LARGE_ <br />DATE SNSTALLE�: �, �i -�r <br />COOE � � _ <br />� lll <br />__"-1 - <br />ON <br />� ' ��' I � OFF <br />V <br />LI lOR AND EOUIPIAENT RENTAL <br />� '�.... � .. I ' <br />SERVSCE �� � �' `� <br />ORDERr <br />: !' j �{�—i 9t/% <br />DATE_�= <br />W. O. <br />No._—�— <br />�----'— <br />PRIGE � FMOUNT <br />SUO TOTAL <br />HOURS RATE <br />�- T�_ <br />� <br />_�.' <br />I - TOTAL '�.I / � �� <br />, <br />L. � : __. _—�-- • ' <br />� � � ' � � __� � (�! L— <br />FEMARKS: > ' i /� � I I 3 �_', —� —__L_ `_�'_ __ , __—_. /„ <br />�'c' f ., . [ — _ <br />-J�, r.��� � ,. ,.�• ____---- -- __-- -�— <br />�� <br />_ J <br />_ � _ ___ � __ i - - - - - - -- __ <br />