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APPL. '] /. 'i �Q SERVICE <br />No. a ((J�C.a / CITY OF EVERFTT ORDER NO. <br />APPLICATION FOR WATER SERVICE <br />DATE <br />FIXED <br />� DEPOSIT No. 0— <br />SERVICE IRY ADDRERR)------ 3--q3 `--u)Q')--""'%"-'-&4z--BLKZW—LOT17 JADD. <br />OWNER fF m�ll,1.JJ-N-�--j �+rn-�/ CONTR ACTOR <br />F <br />INSTALI I I ETERED ERVICE_— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE (� l <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS1'ING <br />MAY BE ror•cTrR fNANGED RIGNED: <br />MATERIALS <br />IN. <br />I IN. 3iTN. <br />' <br />PRICE <br />AMOUNT <br />PIPE - L <br />CORPORATIONCURB <br />COCK COCK OT(— <br />SERVICE SOX PLASTIC -- C I <br />I <br />—__ <br />METER VALVE <br />-METER No. 08,Q TYPE: <br />METER BOX GOMC�srr �Q]r� L LARGE --- <br />— <br />DATE INSTALLED: /O � <br />ON <br />I OFF <br />^ <br />h/'/ SUB TOTAL <br />CODE LABOR AND EOUIPMEN f RENTAL <br />HOURS <br />RATE <br />-I <br />�— <br />TOTAL <br />REMARKS: _f feple4l, GyMajS-- <br />