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� O� O� SERVtCE ° 1 3 2 0 <br />APPL. 02 6 G> � 3 APPLICATION FOR SERVICIi ORDER N <br />- N'. • CITY OF EVERE7T WATER DEPT. <br />DATv �u_ _.� .'�ci 1D 70 <br />� PIXED <br />W. O. <br />Ivl DEP08tT S,�? d J�J, t� u No. - - <br />W <br />SERVIC6 (�V AUDRiss) � L" �- BLK. :-OT ADD <br />OWNQ � � � �— -� CONTR/jACTOR <br />ii �FF�►� /�/f n • �,� � ...� � <br />INSTAL� � METERED 6ERVIC�_a"s-�a''' > ! <br />L <br />1 HENEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF TNE WATER DEPAflTMENT NOW E%ISTING ��GNED:X � � � <br />OR AS SAME MAY BE HEREAFTER CHANGED. ' <br />MAT[RIAI� ii IN. 1 IN. � II IN. I PRICF. AMOONT <br />p�pE COPPER •- GALV. - gTEEL __�� _.—i� I <br />GORPORATIGN <br />CURB COCK <br />BERVICE BOX <br />METFR VALVE <br />METER NqJ� <br />METER BOX <br />/ F�. -�Sx,? , <br />'� �s� -.�`d <br />OT <br />PLASTIC -- C I <br />CONCRETE <br />DATE INSTALLED: <br />CODH <br />REMARKS: <br />i: �'X� �l� 1f <br />SMALL LARGE <br />tA".9no. �7 L'?. / <br />— I � ON <br />� OFF <br />LIIBOR ANO EOUIPMENT PENTAL <br />SUB TOTAL <br />NOUR9' itMTE <br />II <br />2iJI��. <br />�"� � ::�v <br />/, <br />0 <br />