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, <br /> � <br /> � � <br /> � <br /> i <br /> ��� � <br /> o � <br /> � � i <br /> H�� <br /> � � IO O <br /> H�� I <br /> �O� I <br /> f! <br /> Q�b � <br /> '_i' y 5lNVICE A�p � C r1 (l � <br /> M <br /> r <br /> C APPL. �Q�7a � CITV OF EVERF7�T ORDER iv � c � <br /> �p7 N~y No. u / qppLICATION FOR N'ATER SERVICE i <br /> O f~A <br /> �� ��lM%ED � TO POSTING� a2 �- ��7�i� �o ,iam3�_,o9� i <br /> � DErOf1T � No.-_____ _ <br /> �`� � �v0/2 7��Q1�ir�i���Cf � I <br /> fERVICE c�Y AOD11n�) BLK.___LOT_ ___ADO.- � <br /> OWN[�Ltd2lL/Lc,[/✓l�/-�.to_K�/ -'CONTRACTOR-- --- _ �� <br /> '/�i FLAT <br /> INiTAL�X-- RED SER --- ---- --- . . ----- - - ---- <br /> I NEREl1' �RLY FOR TNE USE R IN ACCORD�NCE W17H TME � <br /> ORDINANCES �ND ►OLICIES OF TME WATER DEPAXTMENT NOW EXISTING T-__ <br /> 011 45 SAME M�Y OE HEIIEAFTER CMANGEU. •ICNED: % �'�.-- -._ -- _. . . _ __ i <br /> M4TER16L� K IN. 1 IN. 2 iN. I I PRICE AMOUNT '. <br /> rlrE COPPER�-GALV.--STEEL ,f I � <br /> CORrORATION -- - � -� - --� -"�-I1�-��'`. - <br /> _ - _-_ --� _r- _- - -.�J_-___ _"- , <br /> i —__I__-_I —.i <br /> cuRs cocK or � <br /> -- - ' - - <br /> lERVICE BO% PLASTIC -• C 1 I __ I <br /> - ' __- .-. __. . --- _ _ "__ - . <br /> _ <br /> ____-_- _._ <br /> f1 METER vALVE I � <br /> I __' . _____ �__._" _ _-.. <br /> C�. METER No. _C_E � _ __ TVPEI�/f.�IL.Y�Ca I �___ -_ -- _ _-_ <br /> i <br /> METER BOX Ct�NCRETE SM�LL L�RGE �� I � <br /> 1 — _ ' '_-_- I__ _'__I '�, I _ .. __-___ -'_ _ <br /> "_ _- _ _' <br /> � � <br /> � - ._-__ -- _ _ _ _ _- <br /> � � _J_..-. . .. _. <br /> I � � � . _- -- - - <br /> i ' _I i—'_ __ - _ _ <br /> _._._. _. . ._'- ___ _.- __-_'_I-_ _ -__'__ _'__' __ <br /> � �� '__--- _' ---__ _-_-_I-_ '-- '-_ '-' <br /> � � i <br /> �-ON <br /> '=1_' DATE INSTALLE : {- I � OFF SUB TOTAL <br /> i <br /> � COD[ � L�BON AND EOIIIPMENf RCNTAI NOURS R�TE <br /> —��11Z.�2 �Z — - — -- -- -- ----�---' -- — <br /> � <br /> .—' - - -- - - nto �+ca ia�—'--- — — <br /> ..� , ..- i <br /> -- — -- - -- R7�f 6e takrn o�,��lse-- --- ---- — <br /> �PA�Gmis_�Yit�;91�5�—I-- — — — — <br /> � '—i . —�4av��Atave+:Sici Conr����. � I <br /> -�-- — �------- - ----- - - ------� � -- -- <br /> s'� � <br /> _ -- ---___...------- -------- --� -- — <br /> i <br /> TOTAL <br /> REMARKS: .AAi.O/w ! �_O-'SD-7____.-__.-___- _"_- _ _�_ <br /> �.�{Jt/C/ <br />