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MPPL. � /'L// � <br />No. (� (G <br />� 1'IXED „�/ <br />_/ ��D .� <br />j�y DEPOSiT s <br />�� % `` <br />SENVICE �•lV AOPRE�t)� <br />CITY OF EVERE f'i <br />APPLICATION FOR WATEIt SERVCE <br />INSTALL� �IRETEIi�D SER\'Ic:E------ — — <br />I HEREBY APPLY FOR THC USE OF WATER IN ACCOPUANCE WITH THE <br />ORDINANCES AND POLICIf� OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEflEAFTER CHANGED. elcHm: X <br />MATERIALB )i IN. 1 IN. � 2 IH. <br />PIPE ��_ � ��__ <br />f� <br />CORPORATION <br />CUFB COCI OT � I_ <br />VICE BOX PLASTIG � C I__ I_ <br />METER VALVE <br />METER No. -�-� �- -TYPE: ___ _'. I .'*__ _ <br />METER BO% CONCRETE SMALL LARGE <br />!,l 1.�� 73 — --- — -� —�— <br />;,d 3 � _: b_� ' — <br />T��L��vy- _tv`�.�E y.ti-- -�- <br />� <br />����_ — �' .SP/%A�T —�c�3i� <br />(r/ON <br />/ lct_ <br />DATE INST/.LLED: /tV �3 / � OPF <br />{C <br />COOE I LABOR AND EOUIPMENfRENT�L <br />' ___- ---- A_ <br />SER\'ICE <br />ORDER A1O S r� 17 <br />/ � �� L Ji��. <br />DATE_�(���—i BGSCL <br />W. O. <br />No._ <br />�T_f J��k_�AO;D1/��W��f — <br />'L�D""�ao.[�,t� �O�iJ-J <br />I I PRICE il AMOUNT <br />—� __ — — <br />JI-- —_ <br />—.I.-'_" —"—_ _.— _ <br />I I <br />- -- - �0�/3�' I <br />------ 3aO�_'� <br />� 1 --- - ---- --- --! <br />� -------- - _ -- ! <br />REMARi:S: <br />1 5 U B ITOTA L <br />MOURS RATC <br />�I_ _-_ <br />TOTAL <br />