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No����f"��� CITY'OF [VERETI' senvice <br /> APPLICATION FOR WATER S!'RVICE oRDER NO. � <br /> �-> "7 � <br /> � FIX[D OATE_..____. .�.�__'tO7� <br /> � OEP031T s W. O. <br /> —.._.__-. No._. _.--'— <br /> SERVICE/-I�r�oollcu�_2��}'«i_ __��_���_..jT__-._ ___-_BLK. _-___LO7. ._ __-ADO..-.___. ___ <br /> OWN! l.__R_���.ZT__T_��4�.�'���L-�P T .-_.- ._.- -CONTRACTOR. --..__ <br /> _. - _.__- .__ _ __ <br /> IN6TALL—��S�lAETERED SERVIGE__.�-. _ . _..__- / � <br /> .... . __-__ <br /> ---�4.S��ae,�_��'�' � ��_ <br /> I NEREBY APPLY iOR THE lISE OF WATER IN ACCORDANCE WI71 �HE <br /> OFDINANCES AN� POLICIES OF THC WATER DEPARTMENT NOW E%ISi.4G <br /> OR AS S�ME MAY BE HEIIEAFTER CHANGED. emr+cu: % _ .._. _ ... <br /> _-___"- . 31N. i Pq� AMOUNT <br /> PIPE MCOPPER-- GALV. -� STEEL ____ w 'N. "N. �� ' ' <br /> ___—___ . _____- __ � . <br /> . ___. _ . .__ . _ __ ."'_. _ '_ _'_'_ _ <br /> _ .. __. " __—'_ <br /> CORPORATION _ �- I <br /> ___--.�_.__._-._ .. __. <br /> CURB COCK OT I I � <br /> __-- -__ -_--_ __. ._ __ -__. __.— <br /> BERVICE BO% PLABTIC C I � �, <br /> .— ._.. _ __.— —_ __ _ _. _ _— _-- . <br /> METER VAWE � . <br /> —__ '. _ ._. _ __-_-'_ ______. _ . _ _—._— <br /> METER No. TYPE: ��, •� <br /> _'_ __ _--_ .___ _._.._._ . . . _..___. —_'_ -.' _'.__' ' '-___ <br /> METER BOX CONCRETE SMALL IARGE ' <br /> _—____—____._. _- _ .. .._. I _L�__ . ._ ..___ _ <br /> '-- _ ..._-'_-_— ' _ '_ <br /> -_ '—I_ _- _ _ _'_ <br /> I _ __ ' _____ <br /> '-- — --I _�'__'.-'__ _ ___-__ ._ <br /> — ' —.___�.—__j__--_ —_____. "-" __ <br /> _ -- <br /> i I <br /> / ON <br /> DATt INSTALLED: ry -2�- �� I n ��•F SUB TOTAL <br /> V <br /> OpC ; LABOR AHp EqUloueN! RENTA�. NOUNS pAiE <br /> � � <br /> -- _..._ _ ._ . . _ _ _ _ . . _ ..._ _ __.— <br /> I . —__ _ .. "_. _ . ___ _. . . __.. <br /> _ _ <br /> __ �1�^__ —_ _ _ I <br /> _ - - -- <br /> , �,� __ -- ------ — <br /> —�qY ,.�o ; - <br /> - <br /> - ---- -__ _�r)�, _ — __ - _ ------- _ - - -- --- <br /> - - - -- _ - __ _ . _ . _ <br /> _ I ---_ _ _----- <br /> TOTAL <br /> REMARK3:____-�["f/ . /C".!i J/� � �/�' L7✓':�. . . ___ . _�� .. ��_�'/S;.;.��iC c.. . ,� � �' Ii�">. <br /> / Sc`c '.j�� .i�'�✓� <br />