Laserfiche WebLink
APPL. ??Tjy�, <br />No. esCC <br />B FIXED OO <br />DEPOSIT S 4! 6 <br />SERVICE IST <br />CITY OF EVERE7T <br />APPLICATION FOR WATER SERVICE <br />C' <br />,BLK...._ <br />___CONTRACTOR_ <br />_METERED SERVICE --FOR THE OF WATER IN ACCORDANCE -------- <br />THE <br />ITH <br />POLICIES OFETHE WATER DEPARTMENT NOWWEXISTING <br />BE HEREAFTER CHANGED. <br />SERVICE <br />ORDER NO. - <br />DATIE--;��Z- <br />W. No0 —_ <br />/D <br />_ LdT�AOD _ <br />SIGNED' X/ <br />PIPE <br />MATERIALS -�— <br />COPPER.. GALV. -STEEL <br />K IN, <br />I IN. 1 S IN. <br />I <br />I <br />-- <br />PRICE <br />AMOUNT <br />CORPORATION <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />— <br />METER No. <br />METER BOX <br />TYPE: <br />CONCRETE SMALL LARGE <br />I <br />fSP ON <br />DATE INSTALLED: ��".. i.. �f� ❑ OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />/'OUR! <br />RATE_ <br />J�0 <br />.000-0 <br />— <br />TOTAL <br />REMARKS: <br />