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A�PL' ZO'�� APPLICATION FOR SERVICE SERVICE N_ $ � ] <br /> No. � <br /> OR�ER <br /> '��, = : "" CITY OF EVEREI'T WATER DEPT. <br /> � FIYED DATE�.i.f _ _ .`_ _._18`.�_� <br /> r�- <br /> r� DEPOSITs /�� -�___aII W. O. <br /> IJO._____' <br /> 7 � � �lw . �.t�' <br /> SERVICE �ar�ooncn��._�_f���i�-G= �!-_'___dLK._._.____LOT."�I_AD ��< �Lv <br /> OWNER_ _ __._.______..___._ _.____CON7RAC70R_..___. __-._______ <br /> -__-_ <br /> •3 � ' FLAT -- <br /> INSTAL�___MFTERED SERVICE___.__ _. . . <br /> I HEREBY APPLY FOP 7HE USE OF WATER IN ACCORUANCE WITH THE -T " <br /> -'�. i'.� 7i '__�. , , , - <br /> ONDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISi1NG � / � � - ' � � � � <br /> ON AS SAME M�Y BE NEREAFTER CHANGED. eicHeo: X•r'�_C'�_-�,���! ._ -_��-_•'�_ . _�'/� � '�.� <br /> nUTEHI�L9 4'� IN.� � iN.i II IN. I <br /> __ _�1—_ NT <br /> P�PE COPPER --GALV.--STEEL I I <br /> ______. <br /> ILE AMOU <br /> --_ __- -- _' _�___ _ �- - <br /> CORPORATION _ � ---� ,-- <br /> CURP COCK _OT_ _— - I -� � II I <br /> SERVICE BO:( PLASTIC -- C 1 I - -- - . <br /> --_-._ -_ -_�I�__. <br /> METER VALVE -- <br /> _�IETER No.- _...-__-___-- __.___7VPE_ __--____.I i6 =_ _ ____ _ _-___' <br /> MET::R BO% _ CONCRETE __ gMALL_ LARGE I <br /> - -__----- _ -_ - - - --- Ci- <br /> � <br /> -, _�_ - <br /> - ---- -�__ - - �� - <br /> � ---- ------ <br /> ------- �_ �� � <br /> ---- - ---�---�-i �---;-- -- i--- - <br /> I � GN <br /> DATE IN9TALLEO: z - ,- � � � OFF I SUB TOTAL <br /> COOE I LABOR ANO EpUIPMENi R[NTAL I HOlIRB RATC <br /> i I <br /> -...___"__ _..__-..__ ._ .. <br /> i, _- _. .- _ __-_.-_' <br /> ---i --- ------ -. - ----��--- �I - <br /> --- -- -- ---- � �� , <br /> �---- ---------- _.---- . <br /> --- - <br /> . � - _.� '�' I <br /> � ------- ---- .. <br /> �- �-- - ---------- <br /> -----. ._ _.. .____._ . .. � i <br /> _ . - -- - - . .. ._. -- ----� . _--- -� � <br /> . _. _ . _ - � ---- � ------ <br /> ---� � -.��� <br /> - -- _. --_. . _ . . <br /> - <br /> I __ . -- - - �I ----I�L-- ---- <br /> / � _ T07AL 'I <br /> REMARKS: <br /> . .___,. . ___ . ._ . . <br /> 't� �� " , � � <br />