Laserfiche WebLink
APPL � �/JL(�i CITY OF EVERE'i'T RERVICE �T� � 6336 I <br /> ORDER <br /> No. \ qppLICATION FOR WATER SERVICE /�' ' I,-� <br /> • � FIXEI� n DATE-1��0� <br /> J �,� w.o. <br /> � OEPOSIT s �I'�_ No. - <br /> � � <br /> r � � � ,�� <br /> SERVICE 1■ oD�u ) � BLK._ LOT ADD._ <br /> OWNE � ( / / � "� CONTRACTOR— — <br /> �FLAT <br /> INSTALL` METERED SERVIGE -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCE W�TN THE <br /> OROINANCES AND POLICIES OF 7HE WATER DEPARiMENT NOW EXISTING � � ����✓ �}�,1�_ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. •icwco: X . <br /> MATERI�LB l�i IN. I IN. � 2 IN. I� PRICE ��M04NT <br /> p�pg ob{)Gj�_ COPPER--GALV.-- STEEL � <br /> ORP ��n Ir,� { � - <br /> ��RB 9' 1 � _ , <br /> SERVICE BOX PLASTIG -- C I __I _ _ _ . �I <br /> �-�'p SQ j r wirQ � ---- -- � <br /> METER No. �' 7�—_— I >S — __— "'.___.___ - I <br /> �^� 1 � <br /> METER BOX CONG'ft TE � SMALL LARGE ' _ _ I <br /> 3�000 � � I =—. — <br /> ���,�, �f 2�f �-- � --�- - � <br /> 3�7 —� — <br /> . 4�f-o l U Z,�"7 J�.—� — <br /> 300 /bs � �.� f� S� I _ <br /> � I SD T� r u i r ��u < Ce S � � <br /> � ON <br /> DA7E INSTALLED: �y �21 �v9 I OFF SUB TOTAL � <br /> COOE � LASOR ANO EOUIPM[NfAENT�L NOUP9 _ RATE �� <br /> � 'I t' , S. r _ f� <br /> � 'r� c� I� —_ <br /> i 2� 3 � I�' - --- <br /> � 3 So_S I " <br /> � - - G �, o / I_� — <br /> I <br /> I <br /> TOTAL <br /> REMARKS: - <br /> I <br /> � <br /> I <br />