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AMP / O CHYOFEVERETT SERVICE <br />ERVI ENo.NO. <br />APPLICATION FOR WATER SERVICE ORDE <br />FIXED DATyL9 <br />av <br />DEPOSITS 5 ! _ N . — <br />SERVICE I BY ADOREU11. .(JO 'T' fi fli _NAIL _-•_-. BLK. _... .LOT ADD.. <br />7 i <br />CONTRACTOR <br />Y,�!'�]iT•C <br />(-_METERED SERVICE -- <br />FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />BE HEREAFTER CHANGED. SIGNED: % pjCtil /,,jC)�-��y��^• _ __ <br />MATERIALS yi IN . _• PRICE I�--AAMMOUUNNTT <br />PIPE - GALV... STEEI ) I I 1 <br />CORPORATION <br />URS COCK I OT <br />SERVICE BOX PLASTIC,. c I <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGL <br />ON <br />DATE INSTALLED: S r) _.7 y [] OFF <br />ODE 1 LABOR AND EOUIPMEN( RENTAL <br />REMARKS: <br />SUB TOTAL <br />HOURS RATE <br />TOTAL <br />