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APPL. <br /> No. pZ ��D . - CITY OF EVERE?T ORDER E NO. lt :; b Z� <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED DATE �� _�p� <br /> �DEPOSIT s Co Q^ W. O. <br /> � p No. <br /> 9ERVICE (wADDRG�)_ �(f �_ a �__^L��VLf.J�[�J� BLK._ LOT�..nDd1���Q^ � <br /> OWNE CONTRACTOR <br /> � __ <br /> . / LAT <br /> INSTAi� � ,. D SERVICE— <br /> I HEREBY APPLY FOR THE I15E OF WATER IN ACCORDANCE WITH THE T,_ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EI(ISTING p <br /> _OR AS SAME MAY BE HEREAFTER CHANGED. alcHeo: X ._ '�_�_1[�/�y_L{��0.e.�—• �� <br /> MATEPIAL6 Wi1N. IIN. IZ �N I I Pp�CE AMOUNT <br /> P�F'E COPPER--GALb.•- STEEL _ �- <br /> CORPORATION I <br /> CURB COGK OT � <br /> SERVICE BOX _ PLASTIC -- C I I � <br /> - _I <br /> METER VAWE __ __ -- i � <br /> METER No. Tl'PE: I sS <br /> _ --__ '— ---.�_— __ <br /> METER BOX GONCRETE SMALL LARGE__ I <br /> I � <br /> ` --1--i _.I—� _— — <br /> � <br /> I <br /> ——I _— <br /> � I <br /> I � CN � <br /> DATE INSTALLED: y OFF SU6 TOTAL <br /> � �l. �'L <br /> CODE I LABOp ANO EOUIPMENT RENTAL MOURS RATE <br /> � L'n..�/, •P�i'G��.° <br /> I --I <br /> I -� -- �--- -- <br /> I I <br /> — �--- — � <br /> � — �— <br /> — I � - -- - <br /> TOTAL <br /> REMARKS: <br />