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nPd[."' /�y� L.` APPLICATlON FOR SERVICE SERVICE No 23� � <br /> N�. i / CITY OF EVERE7T WATER DEPT. oROEe <br /> i <br /> � FIXED DATE�:�1�.�__t9�1� <br /> i � DEPOSIT�_z�_�-�_ W. O• <br /> S 90 � No.—_ <br /> j SERVICE (BY A!�CRE68)—1 l� �� �HY"�5 BLK. LOT nDD. _— <br /> � OWNER� �ia���,__�1�-�KS.��-t GONTRACTOR__Sf���v <br /> � �� FL <br /> i INSTAL � METERED SERVIC`E]. — -- <br /> L��- _ -_^-- <br /> I I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE <br /> I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING -- <br /> OR AS SAME MAY BE HEREAFTER CHANGED. ai�rvee: X.. <br /> MATERIALB �/i IN.I 1 IN. � 2 IN. I I I PR�CE AMOUNT <br /> � PIPE COPPER,�GALV.•-STEEI. �—I��— <br /> � CORPORATION . I I <br /> ' CURB COCK OT I <br /> � SERVICE BOX PLASTIC •- C 1 _ I _. <br /> � METER VALVE _�________ _ ____. . <br /> � METER No. ��Q —�-�TVPE: E�f��/ I �6 � __ ___ . � <br /> � .._ !�- _ 1--- —_ <br /> � ETER BOX CONCRETE SMAL ` LARGE I _ _,_ c <br /> ' I I I_— I, 'r <br /> � �`�'/�l�Y�/ tS f{���l __II _I_— _ � . I� <br /> � r � — — <br /> �— � <br /> I-- �-- <br /> I � � i I <br /> ON i <br /> I DATE INSTALLED:/6.:.,�G, _. � fi � OFF SUB TOTP.L <br /> pppg I LA�OR ANO EQUIPMEN"f R[NUL � HOURS HATE . <br /> 1 I I <br /> i � -- -- �L D �f/j � � --- : i <br /> �—I No�'�'y R -- �4 — -- ; <br /> � ; _ �2 I% I �/ <br /> � �---- ---------�•3L' `J' __ �I 1 — — <br /> � !I — ---- ----- — <br /> I— ----�---- — <br /> I 'COTAL <br /> I REMARKS: � y� (/j J` �/ _ � -/ / '�' `� .. <br /> � .4'1•� ^�.t�_l.a:�:..-'^"=� tL-�-2_ `.�2i.�C[.��1.1L-._—1�_�_ � 11 <br /> i <br />