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CITY OF EVERE'-T <br />APPLICATION FOR WATER SERVICE <br />FIXED c- CC <br />DEPOSIT s ((1 J( -b 4n <br />SERVICE (BY ADDRES8)�! r -) / 5 /0'1' /I t �r� /- i(�j - BLK._-__—LOT ADD <br />OWNER—(-L_(A� �sI CONTRACTOR 54/1/ <br />I F <br />INSTALL c ETE ED SERVICE: } <br />SERVICE <br />ORDER <br />DATE <br />W. O. <br />No <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />L"/"?y:140 <br />" V(!4 LIU?�-�1-L.e?c.e--- <br />SIGNED: X ��/�' <br />MATERIALS <br />¥i IN. <br />1 IN. i 2 IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C 1 <br />METER VALVE <br />/� <br />METER NO. 2 9 ? i TYPEprCG/s/aib 3ti <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: fv -3f-SCC; <br />/ <br />[J ON 0 <br />I 0 OFF E��{fSy1RCHa���fTTSIJQT�AL <br />i <br />t <br />� <br />CODE I LABOR AND EQUIPMENT RENTAL #1J11095Di JRS <br />RATE <br />d CL"71/C1/ Cel/kriat9--C-TO /2 <br />WITECT-Taiar- <br />#0001988---- <br />FLOG <br />PLBGI <br />t <br />H- <br />H <br />$193 <br />3450.00 <br />$67;.00 <br />1 <br />--- <br />,.00 <br />KECH <br />X50 <br />.00- <br />.00 <br />B- <br />$ <br />-31 <br />$6 <br />#000)5804 <br />WATER <br />#080188: <br />❑I nr_ alD-riTc1 AL <br />REMARKS: <br />PLBG <br />$450.00 <br />1ECH $675.00 <br />a -r rn <br />