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1 <br />_ --� <br />K.6r-2r� SERVICE <br />APP <br />No. CITY OF EVERE7T ORDER No. 3516 <br />APPLICATION FOR WATER SERVICE ///7`�i <br />FIXED !/ <br />Q� W. DEPOSIT �..3J No.. <br />SERVICE IBY ADDRESS) 715Z O <br />OWNE —CONTR <br />A <br />INSTAL '-, LZ LERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />I <br />OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: X�i- <br />MATERIALS <br />Y. IN. <br />I IN. 2IN. <br />PRICE <br />AMOUNT <br />PIPE )as IL COPPER--GALV. - STEEL <br />JI <br />p5 <br />CORPORATIC N <br />- <br />CURB COCK OT <br />j <br />— <br />SERVICE BOX PLASTIC •• C I <br />- —' <br />METER VALVE <br />— <br />— <br />-- <br />— <br />-- <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />— <br />-I /Q <br />ON <br />SUB TOTAL <br />I OFF <br />DATE INSTALLED: O <br />CODE LABOR ANDEQUIPMENf RENTAL <br />HOURS <br />RATE <br />- <br />37 <br />TOTAL <br />— I <br />REMARKS: _ — %-- -- <br />