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NoFL ������ CITY OF EVERE"fT <br />APPLICATION FOR WATEP SERV�CE <br />� FIXED <br />� DEPOSIT c /�79 �� <br />—,r <br />7So � 1�i' �i ' -�,�_ <br />SERVICE (erwqoRg��ej - �� "�'�°'� E <br />OWriER�'L64� �,.G _G('_'a��fc— GONTRAC' <br />// <br />IN51'AL� METERED SERVI::: - � <br />I HEFEBY API'LY FOR THE USE OF WA7ER IN ACCORDANCE WITN THE \ <br />OR�INANCES AND POLICII:S OF THE WATEFt DEPARTMENT NOW EXISTING <br />OR AS SAME MAY f3E HEREAFTER CNANGED. sicHeo <br />MATERIALS ii IN. 1 IN. ' <br />PIPE __ COPFFR •- GALV. _ STEF_L __ I <br />� <br />CORPORATION <br />CUR6 COCK OT I <br />SERVICE BOX PLASTIC -- G I , I <br />M'cTER VALVE <br />METER NO. <br />METER BOX CONCRETE <br />DATEINSTALLED: <br />GO�E I <br />REMARKS: <br />TYPE: � 35 <br />SMALL LARGE <br />I Tq' ON <br />� <br />-C/C� I � CPF <br />1L_ <br />LABOq ANO EOUIPMEN(REN'fAL <br />II:! <br />SERVICE <br />ORDER NO. �� � � �� ` <br />DATE_���--19�'r <br />W. O. <br />No.-. _—_— <br />������-� <br />PRICE il AMOUNT <br />SUB TOTAL <br />I HCURS I P..TE <br />TOTAL <br />� <br />r <br />�. <br />.r �-, <br />�.{ Ti <br />H -� <br />(/� _ <br />n� <br />� <br />C O <br />mc <br />C_' <br />-I C <br />O =: <br />r <br />-I '.' <br />S -1 <br />m <br />� � <br />c <br />D -� <br />�� <br />-i v. <br />K <br />O +' <br />-� rr, <br />2 <br />m� <br />v <br />� <br />or <br />� �, <br />c v, <br />3 (/ <br />m <br />z �. <br />--i r <br />. � <br />> <br />z <br />i, <br />L <br />C <br />r <br />