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APPL. �� ^�� �• APPLICATION FOR SERVICE s�avicE �f" 1 c�, ��! <br />������ 7 GTY OF EVERE7T \VATER DEPT. �F�oE (j , / <br />DA� �_1 �— __19_'J_ _ <br />� FIXED / <br />�� DEPOSIT� IfJC/,n0 c'-- _—_—' ' '_. <br />seRvice ior c css�_ _ A" j/v'� �� �� ---�i_�:.- -- _�o��ib _noo� U����- <br />/ � Q�- <br />— - =v'= - <br />OWNER—.S�4c c —�Z `���� -. _ -__—_._.CONTRACTOF_--. <br />.� rLAT <br />INSTALL ��—_fYr�JiFD SERVICE. . —_--'—_ _— --_—_—._—__ __"_— _'_. _____'_ <br />I HEREf3Y APPLY FOR �HE ❑SE OF WATER IN ACCORDAKCE WITH THE <br />OflUINANCES A�D POI.ICIES OF TffE WATER �EPARTMENT NOW E%ISTING <br />OR AS SAN! MAY B[ HEREAFiER CHAN''.ED. slcn'[u�X <br />;f\TeR1AL5 IbiiN.I11N.121N. I PFICE �I AMOUNT <br />PIPE COPPER -J GALV. -- STER � � <br />,��I I I . � I! /, l�0 <br />--- - - ----------- --- �---/ <br />CORPORATIO-�I __ _ , � I _ �� J ��C�-� <br />'�CURB COCK �T � I I I I/�C�� <br />��— -- __ — n—_ <br />SERVIGE BOX I PLA�TIC�-- C I � I � (� �lJ' ) <br />— ' ' — I ___ _�L_—:� <br />IAETER VALVE � <br />_— _ --_ __—' _.—_ __ '— _ _—' . <br />'_.— __--� I_ .. <br />METER No. _TVPE:_ __ __ _I `6 <br />MET[R BOX CONCRETE SMALL LARGE �j� I <br />_ ____ —. —. _ — I_ .I_ �1 I — <br />RE`dARKS: <br />.. l ': <br />I � oN <br />L, �O�F <br />AND EOUIPMENiRFNTqL <br />2 �a - I <br />SUB TOTAL <br />N�11R5 pr1TE <br />9 { l <br />��� � �G�, <br />