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w������'D CITY OF EVERE7T <br />No. �/ APPLiCATION FOF WATER SERVICE <br />c7( FIXED o <br />:Y � <br />� DEPOSIT �1J <br /><�c� 9 <br />A �c-.vyE <br />SERVICEt�r�oo�u���-1=-�—zi�" f"'" —�—" <br />OWNE � � � --- GONTRAGTOR_ <br />3 ° � -- <br />IN6TALL�--�L—METERED 5 R ICE__---- <br />0 DENANCES AND POLIC ES OFCTHE W TER DEPARTMENT NOWWE% STING <br />OR AS 511ME M�Y BE HEREAFTER CXANGE9. aict+co: X L <br />M/1TERIAL� $ IN. t IN. � Y IN. <br />____ /, � <br />p�rE COPPER GALV. •- 57EEL <br />CORrONAT10N �--- <br />tCURs COCIy OT / I— <br />�– PLASTIC��, .. G I I I <br />3ERVICE OOX _ ____---- — <br />METEN VALVE _____ . _.-. ---- <br />METER NO. _�_ TYPE: . _ .I_ `� __ — <br />ME'fER BOX CONCRETE SMALL LARGE ____ <br />-�%S�,p�y?, /'�-N %� _. _ l � <br />�� � <br />rp ON <br />} 4\ <br />DA7E INSTALLED: /._ 4 " ( �� � OFF <br />CODE � L11lOR AND EOUIPMENf RENT�= <br />—I r <br />� ��� �- <br />� �_ <br />-� ---- - - - --- <br />REMARKS: <br />e- / <br />� , <br />:..,-_ <br />SERVIGE � . '� �. ,' <br />ORDER � � <br />. � <br />DAT _� ��7---1 BJ_Z <br />w. O. <br />No.— <br />�-6 <br />J <br />PRICE �! M^UNT <br />SUB TOTAL <br />HI OU118 11�TE <br />I � <br />i� <br />1—^ _ <br />I� � <br />Ca'1,�� . ' <br />