Laserfiche WebLink
��(,��I� �y / ��`���J �SERVICE . .. I . <br /> NOP 1 T� CITY OF EVERE��^* �� -� ' "' . ORDER N0. �� � � � <br /> � � APPLICATION FOR WATER SERVICE <br /> J U L 25 1977 DATE��Z---,9-��- <br /> � FIXED � <br /> � DEPOSIT S ��_ U.JlLI1Y DEf'ARTMEN7 • rwio'°— <br /> /�� /J i /��� <br /> SERVICE (�VAODRE��)—�U�---�--_"-- �'�r;Ci BLICT��L0�1._�-�AD�r ""'" ' �— <br /> OW N E R ___—GONTRACTOR <br /> INSTALL�.�--METERED SER`:ICE--- --- ------- -—— <br /> I HEREBY APPLY FON THE USE OF \YATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLIQES OF THE WATER DEPARTMEN7 NOW EXISTING elcHeo: X C - "� - -- --- <br /> OR AS SAME MAY BE HEREAFTER CHANGED. —�rr--�- <br /> MATENIALS �� I IN. I 1 �N• � i 17—� PA��E �M��UNT <br /> ,2' ��- <br /> PIPE _ COPPER GALV.--STEEL _ <br /> I <br /> CORPORATION - — <br /> URB COG OT � __� — — <br /> � SERVICE BOX PLASTI — G I I I _ . <br /> METER VAWE __ __—_--- -- --- — <br /> METER No. --�-- TYPE: I_ `S — __ — --- <br /> METER BOX CONCRETE SMALL LARGE _ _ <br /> �.�� �, ., aD U� s �� ,� ►—�— =L <br /> � _�_ — <br /> --, �, <br /> --.� �_ __ <br /> - —� ��—i <br /> rsf ON <br /> '�4 SUB TOTAL <br /> DATE INSTAL�ED: �70 �A�,ti � ? � OFF <br /> COOE � LABCR AND EOUIPMENfRENTAL I MOUflS RATE <br /> —i-- -- -- - -— -a�G--0''1'�—.-I � - <br /> -- — -- --- �' � r� �_�— - <br /> � `�� 1 / ���-- -- <br /> � -- --�� - <br /> —� � <br /> II -- - ----- - ---- II <br /> _�- I <br /> — TOTAL <br /> i , <br /> REMARKS: .f% i ; _'_—__ _—__ -- _-- <br /> — __ —_—'_--- ------r�..,--__ <br />