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^PP'-. CITY OF EVERE 1'T SERVICE <br />No. a� 13$ qppLICATION FOR WATER SERVICE oROEf3 n'o 9 O <br />DATE_ 'V CL.� �_19� <br />�FIXED <br />� W. O. <br />� DEPO5IT � No.—_ — <br />SERYICE �6Y ADUPEBBI—� V� `�- � JL� �� ��LK._ LOT—I—/—�DO. lI� <br />` c�yy�Q <br />OWNE ���— -- --.GONTRACTOR-- /.S1L�1 ---- <br />, 3,�. N FLAI' <br />INSTA� METERED SERVICE_. _ - -- --- ------- -- <br />I HEflEBY APPLY FOR THE ❑SE OF WATER IN ACCORDANCE N'I1H THE �� ��/ � <br />ORDINANCES ANO POLICIES OF THE WATER D[PANTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHAHGEU. BlGr+co: X __ _�_—_. �� <br />. .___— ___— _. — _ — _ —'- _ i <br />MATERUL6 ii IN. � 1 IN. � 2 IN. � � � PRICE �I AMOUNT � <br />PIPE COPPER -- GALV. •- STEEL <br />CORPORATION _ _ <br />CURI3 COCK OT <br />SERVICE BOX PLASTIC -- C f <br />METER VALVE <br />METER No. TYPE: I 6 <br />METER BOX CONCRETE SMALL LARGE � <br />DATE INSTALLED: p.7;., I,..rJ�� I � OFF <br />i� ( � <br />COOE �� ��� ����- LAUOp AND EOUIPMEN f PENTAL <br />� . �L��/-l_L-/��------ ---- - ��lrPt-�<-<' <br />REMARKS: <br />I I <br />SUB TOTAL <br />I MOURS RATF <br />_ -II <br />-� -- <br />-�-- -- - <br />-� - --- <br />-- - -- <br />