Laserfiche WebLink
i <br />APPL�/ _C-�%� <br />No. UJo—.J <br />irA FIXF" � <br />4�l <br />� DEPOSIT y �_ <br />SERVIC�G (BY ADOREBR)� <br />CITY OF EVERE7T SERVICE <br />APPLICATION FOR WATER SERVICE ORDER r'a � 5 3 01 <br />DATE�L<�-�--� 19� <br />V!. O. <br />No. __ — <br />1 �/� �- `"� —_BLK._ LOT_.�ADD�tV �" II) ��lz-,�,.�- <br />T�I.V f`ltNTOA!'T(1B . <br />FLAT� <br />IN>TAL � ED SERVICE—_.—_ -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCCRDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEHEAFTER CHANGED. etGneD:X ` <br />MATEfl1ALF 9i IN. t IN. � 2 IN <br />PIPE COPPER -- GALV. -- STEEL � I <br />GORPORATION � <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- G I <br />METER VALVE <br />METER No. __ <br />METER BOX CONCRETE <br />TYPE: __ � `A <br />SMALL LARGE <br />ON <br />DATE INSiALLED: ��� � q 14, R� OFF <br />CODE I LA�OR AND EQIIIPMEN f RENTAL <br />SUB TOTAL <br />HOURS � RATE <br />Tora� <br />REMARKS: <br />AMOUNT <br />