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NOP ;J� F3 <br />i <br />FIXED <br />ScaVICE N° 2105 <br />ORDER <br />'l <br />DATE - <br />DEPOSIT S <br />N 1�• No. -- <br />_ Poc �L•tocz-� <br />SERVICE (BY ADDRESS) ", �� t w BLK. LOT— —ADD-Z-� <br />�— <br />OWNER C w ^LC—C Q��— ----CONTRACTOR— <br />FLAT <br />INSTAL 3 4 ITETE-RBB3BRVI --- --- — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING sICNED: X <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />APPLICATION FOR SERVICE <br />CITY OF EVERETI' WATER DEPT <br />I <br />MATERIALS <br />1/4IN. <br />I IN. 2IN. <br />PRICE <br />AMOUNT <br />t PIPE <br />COPPE =- GALV. •_STEEL <br />CORPORATION <br />--- <br />CURB COCK <br />OT <br />/ <br />LSERVICE BOX <br />AIETER VALVE <br />PLASTIC •- C I <br />I <br />_. <br />i <br />METER No. <br />' METER BOX _ <br />I <br />------- <br />TYPE: <br />CONCRETE SMALL LARGE <br />_ <br />j <br />DATE INSTALLED: If �) IL ti 7 S� <br />L �T <br />ON <br />I OFF <br />5UB TOTAL <br />CODE <br />LABOR AND EOU'PMEN"f RENTAL <br />f <br />HOURS <br />RATE <br />! <br />TOTAL <br />