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' i <br /> �i _ <br /> '+:� � I <br /> .=� , <br /> „,�- � <br /> ., , <br /> .;� ,._ � <br /> � . � <br /> ;(. i <br />�_ <br />�: <br /> `;, , <br /> s,�: <br />��, <br />�. I <br /> � APPL. � � SERVIGE - - - - <br /> No. � ���'.� CITY OF EVERE'TT ORDER �10 � 17'] <br /> APPLICATION FOR WATER SERVICE ��/-�/ <br /> }Ei FIXED <br /> DATE_�_�19�-?�_ <br /> Y,� �� W. O. � <br /> � �EPOSIT s J j �-' No. �y �/�f} I <br /> � {� /� �'� C��t CLLJI <br /> � ^�L- �`-' � I,,VC . G BLK._ LOT�Q-ADD.��I � <br /> SERVICEfevwoon[ool \ ° . <br /> OWNER�� f'I I� �� I.J� � }� � � /��L� / CONTRACTOR ���� _ <br /> '� L (l LA�i ___-`i��`t - �� ___ <br /> INSTALL RED SERVl�'F <br /> I HEREBY APPLY FOfl THE USE OF WATER IN ACCORDANCE WITH THE � ` <br /> ORDINAHCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTEF CHANGED. elcHeo: - ____ _ <br /> %��-_,._.__ <br /> MATERIAL6 )4 IN.�� 2 IN. � � PRIC< < AMOUNT <br /> PIPE COPPER--GALV.•-STEEL � � _ <br /> COHPOR.ITION � �__�_L_ � _ <br /> CURB COCFC OT I I <br /> SERVICE 80% PLASTIC -- C 1 I _ _ . I <br /> METER VALVE � <br /> METER No. TYPE: __-. I 1S _ _-- -- __.- —-_ __._____ <br /> METER BOX CONCRE7E SMALL LARGE I_ _ _ <br /> __ _ - <br /> - I —�_— _ <br /> � I <br /> '__I' _ -- i <br /> _'—'_ _—i _�_ _ _— II <br /> - I I ' II <br /> � ON I <br /> DATE INSTALLED: � '�� � I � OFF � �� �{r� SU6 TOTAL I <br /> i <br /> GODE I UBOR AND EOUIPMENf RENTAL MOURS RATE � <br /> '�I � � _ _ <br /> I I . <br /> I I <br /> __ _ — ___ _'�—_-- ____ <br /> __I "_. '— I _ --_ _ <br /> __I ____----_— — , — . — <br /> T <br /> TOTAL <br /> REMARKS: 'Lcl� 2 �� ��- ___._ ______—__ _�_ <br />