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qpoL, `• Ov Y' � APPLICATION FOR SERVICE <br />N�. CITY OF EVEREI'T WATER DEPT. <br />1C,i%� <br />� FIRED ` � <br />� oer�osir g /� 'I -=> . , <br />�, ; <br />SFRVICE (BY RE66)�' <br />SERVICE ��� 1 2 a 3 <br />ORDER�� <br />DATE` /��•� : : / / 19�C� <br />w. o. ` <br />No. __ _ <br />B:..K. LOT .A <br />i� I � !,_,..; '��t_��. �lll t�'`� CONTRACTOR <br />OWNER � � � ' � � - <br />-.,�� �� FLAT <br />INSTAL�- '� � -ML7LRED-SERVICE----�--- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /� /° � <br />OFDINANCES AND POLICIES OF THE W�7ER DEPARTMEN7 NOW EXISTING '�d=� �^�j�b�-�.-�� <br />OR AS SAME MAY BE HEFEAFTER LHANGED. 5�oweo:X. IC./� - <br />MATERIAL6 �w IN.I 1 IN. � 2 IN. I PHICE AMOUNT <br />p�pE _ OPP[R'--GALV.-STEEL _ �,7 � I I� _r_G� �1 V�.���_ <br />COR POR ATION �__ � I I_�1/ <br />�CURD COCK OT J_ I U.�II�/. <br />SERVICE 60X LASTIC ;- C 1 J I �I��K�� <br />METER VAWE _ _ -- <br />METER No. ----� TYPE: I ;6 __ '_ __ _ <br />METER BOX CONCRETE SMALL LARGE _ I_ I____ I_ <br />� <br />7 � ON <br />DATE INSTALLEO: ��,�%{//�/�/1 � OFF <br />i / <br />COOE I LAOOR ANO EQIJIFMENT RENTAL <br />�� <br />FEMARKS: <br />�_�_ .��" `_. _' <br />SU� TOTAL I �� <br />NOURS RATE <br />-- I—�-- - "' . � I. � _ - <br />� �� <br />I � 3,� ,I � ��2 <br />� �' I <br />� — — � -- <br />— - —� �- --- I - <br />— -__ ._'____------- --� —' <br />