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APPL, I g��� APPLICATION FOR SERVI�E <br />No. <br />����,p CITY OF EVERE'FT WATER DEPT. <br />� FIXED <br />� DEP091T s �� ��, � O � <br />�` � U i� �j �j� Lc�cV <br />SERVICE N� � S S � <br />uRDE <br />o�T tl�l—t�� <br />W. O: <br />No._—.__.--_ _—__ _ <br />BERVICE ceY ,yo,o,n�u�l— —��' - .---------BLK..—.—�OT___ <br />OWNER��"-�.------��~ --�-- — CO RACTOR�—�-�J� <br />INBTALLfL�!~ MI'ET REG SERVIC��-���- �� y� ��* <br />i <br />I HEREBY APPLY FOR THE USE 6F WATER IN 11CCOROANCE WIiH E ' . <br />ORDAS�SAME MI1Y 6EL1HERE FTER�C ANGEDOEP�RTMENT NOW E%ISTING <br />•ioNco: X_.. '"_-,.-.�i_G.- <br />MAT[RUL! R IN. 1 IN. I II IN. i I� <br />� <br />p�pg COPPER -- GALV. •• BTEFL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BO% PLABTIC •• C I <br />METER VALVE _ <br />_ _.� _p . —_--/—��—_ — — <br />METER NO.l�3y7-�%'t]_�4Z TYPE_/..[�I�.11(�___ I._.;S <br />—7 <br />METER BOX CONCRETE BMALL IARGE <br />n �/��' Y.L/ T_--_ _ <br />.:t' .�+7'Z!!L�(l.�1 <br />- a„C,rni�t ��/, c • en t�c�-% <br />.�„ r(i1.'LJr�tf•!i �irc �, �/ _ <br />_"s/Sx �Y� 11_XtlY.��I( I✓�Y'�t.��-I{ <br />��� %lIlfJ' ��� - —_-.-_ <br />`v3l�.�' !�!. / __.-_ __ <br />�r :^ ii'� 9litJ'R' � --/ <br />y.•� i/J�f�...�F���r - �- .7'i ��Y. '(� <br />n oN <br />DATE INSTALLED: �"."%"F'•S L-� OFF <br />COD[ I L�lOp /�NO lQl11PM[NT NCNTAL <br />� . _. ..., ' , � <br />� <br />- �--1��- <br />SUB TOTAL /�.�� �'� <br />NOl1PM1 RAt[ <br />��'V� � �� i <br />-.i-.'��', - <br />- � <br />'��- '.II i ,�_ <br />� <br />_- ._ _ _ ; --�- <br />- TOTAL I <br />REMARKS: {ti !v S�r�� ; n -n �- 4�: i 2 ¢ , . . - <br />