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APP�' /J%/�/� � CITV OF EVERE7T OROEHtIy� 8399 <br /> No. � L�� APPLICATION FOR \VATEN SGHVICE �7 <br /> ' � OiFI%EO TO PQSTI . -�3 � /0 7� DATE_�/--�/"9?•SY— <br /> �-30 <br /> � oErosrc��-- °�-- -- - --- <br /> ` lERVICE��r+oo�[��1� �L' _L� e�K.._LOT_� Apf��tflLlL�/QCL� <br /> OWNEN-(.,LL(n)IU �I� � ' CONTRACTOR_ /� /^ <br /> V�% F4�� _ �. . . . / ,._ __- <br /> INSTALL_ �M NED SERWCE-_"_ -. _____ __- � / � . _ <br /> I MEN[BT APPLY I011 TNE USE OI W�TEP IN ACCOPDAHCE NITH THE I <br /> OPDIMeNCCS �NO POLIfiF.S Oi TNE WATER pEP1PiMENT HOW EAISTIMG ] ���� <br /> ON �5 S,1YE M�Y BC HENEAf1ER CN�NGCD •IGN[o.� U -_ _ <br /> MITCPI�I� 11N. 1 IM..S IN. P ICC �40UNi <br /> PIPE COPPER-G�LV.-�STEEL I ' I <br /> "____---_-__ _ I '- -____ <br /> CORPOR�TION ...�- -�--��--- -�. — <br /> CURB COCK OT --—�_-_.--_ _ _. —_-__" —_I-_;____ _ __ ___ <br /> SERVICE BO% PLASTIC - C 1--' �_"___---— —� �_� _ ____ _ _ <br /> METEN VALVE — — ' - -'. - _� <br /> METER N6 --_� . iYPENf��✓•�Z � -_�_-_-. I_ " . _ �. __ _. _ <br /> /O__7U_/ � _ _ <br /> - - -- - � - - - <br /> METER BOX ONCflETE SMALL LAqGE I_ 1-_� I— <br /> � I <br /> -- - ----_- _ -�-; -�- --- -- -- <br /> ----- - - _ --- --�-,-;---- -- <br /> , -- - <br /> --- ----- _-- --- <br /> �ATE INST�LLED� i �._. _ __ "-Ci-BMFI_i�_-- _.: ___�_' _ " -__ <br /> � - "-_-_- ____. _ _ I . _-- -__. <br /> L a� ` f +� I �I � �[y SUB TOTAL <br /> COG[ 'i I�BON/.NO EOlI1VY[Nf PCNTAI /j I M011R1 P�TC <br /> -'-�2L1�--- ---- _ __l - -- ----- -- <br /> i i <br /> -- - _--- --- --i-- -- - - <br /> - ---- - - ------------�-- --- --- --- <br /> --- ---------- , -�CIION- - - --- <br /> � <br /> AI>�1MUM`rn' �• �TOTAL <br /> PEM�RNS: ��N ���•_�� ... <br /> -- - �_�=�'o�9 -- — _ ---= _ <br />