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A��L. <br />No. ����� C�TY OF EVEP.ETT OIID[1R� N �(�! tl <br />APPLICAT'ON FOR WA"iER SERVICE �jj / <br />� FIXlD Op DAT�i/ _' /� _.._tO�.y_. <br />i <br />G DCrOS1T ��.Q_ _ _. _- W.O. <br />No.—_ __ _ .. . —__— <br />J /�{/ -�/ � �//'' ' <br />3l11VIC[ I�Y ADD� i'J_��_ _ _-��Q(P IA� ��;f,CICt1�.�Lc � 9LK..' _ —_L4T � /_'__ADD.—_ <br />_ <br />�],� �b //��� J. <br />OWN[11_._//�-. ' <br />"p-_ Ltx'� -'-��/_ C,Y�Xi ___CONTRACTbR. _.__.._ _____._.__. ___-_'__ <br />w <br />INST�IL_�� ETEHED!lRVICE_ _ . . ._'._.______._ __ ________�.J . _____ <br />I MEREEY ArPLY FOR TXk USE Of WATdR IN AC[ORO�NCE WP�H THE ���j /�'y ,�J J. <br />ORDINANCES AND P(�L!CIES OF TNE M�TI:R DEI`AkTMENT NOW lK�STING / / <br />OR AS S�i�E qAY S!. NUE�iT[R CHIIN(�k0 •IGN(O: I( _ //':_ f/. -. /C L� �" <br />M�T[R111• ❑ IN. i 1 M.. � P. � I rAIC[ IIMCUNT <br />PIPE l'OePER - GILV .. 9TEEL I I..__I_ I --- � <br />-_. '_-.__ . _. _. _ . _ __ __- _______-_'I-__!_____i. _. <br />C�'JRrCl�A71pN <br />_ .___. __ _ - . __ __ __ _- _ _ _ -__. __ <br />CURB COCK OT <br />sE11VICE SOX � PLA9TIC .- C I <br />METER �ALVE _ <br />METER No. TVPE: I •� <br />M[T[R !OX CONCRETE bMAll_ LARGZ <br />_'-_ '___". _'- _'_'_ _'_-1. - <br />-'_ - � <br />ON - __ _ � � <br />DATE:N9TALLED: �� `��J� I �� OFF sU� i^TAL <br />7 <br />COO■ ' l�lOp �NO [pUIPMrNf p[MT�I � N04NY q�T[ <br />---, --- � ccyr-,.o�r,,'�� I I— <br />—� - - - - I -- <br />•— --- — <br />� --I <br />-- - - <br />--- <br />-- -- — - --- <br />—' --_ �j �� y c�_ -- � _— - <br />, � <br />---- ---- -- - <br />. _ _ ----- <br />--- - <br />- ------ - __ , <br />{ , <br />, - <br />,-- <br />_- TOTAL i � <br />REMARKe: � <br />