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i <br /> ����� �.��� CITY OF EVLAETT ORDERE NO. � n � > <br /> No. ' s- �' APPLICATION FOR WATER SERVICE S � �/ <br /> DATE_�---�O.L-�- <br /> � FI%E�37-r .� ' ��' Yrl, ��_�r��S <br /> c7i W. O. <br /> � DEPOSIT _� No..—_.-- <br /> s p �/J�/ �'�[' <br /> OERVICE (�YAOD11[��) ��Z���"��'�'n^��� —BLK._--LOT- v .ADDI��-J�g=�=�'"�� <br /> � �yi<� # � <br /> OWN[ —_—_.____.._ .____—CONTRACtOR______---_— — <br /> / � F�_�7 _._..-" <br /> INeTALL�.�ETERED�ERVIGE�--- - --------- ----�— ---—-- <br /> I HEREBY APPLY FOR TNE USE OF WATER IN ACCORDANCE WITH TNE � - � <br /> ORDINANCES AND POLICIES OF TME W117ER DEP�RTMENI' NOW E%ISTING . 7� i ' �_r_• _ <br /> OR AS SAME MAY BE NEREAFTER CH�NGED. uar�eo: % �-_�.'___.� -----�L--s--='-'-� °- - - <br /> MATE�I�L/ % IN. 1 IN. � ! IN. i 1'RIG[ IIMOUNT <br /> PIPE L �r �c -------�------ -�°�-�---�— - <br /> GORPORATION � — - <br /> CURB COCK OT � — - <br /> -____—_--._.- __-_--. — <br /> 6ERVICE BOX PLA9TIC -- C I . _ _ . <br /> — — . __ __. ___._ .. — __ <br /> MfiTER VAWE ._ ._KpVC',3. -- � --I - -� - -- � __. _- "_- -_.- <br /> MEiER BOX C9NCRETE SMALL LARGE_ 1 � � <br /> METER No. 6.�0.� _.IhASI�c TVPE'aRo � I �4__ __ ,__ _-- — -- _ -- _.-_. _' <br /> P�ns�� - ---- --- <br /> _1 So 7 3 ..�.�T�-[.���� ^ I <br /> — -- <br /> -- --- <br /> 14 P - .� _.. L� —�-- -- <br /> ---- ----- - <br /> � <br /> _. _._ -- — — — - <br /> -- ---- � - - - <br /> - - — — �— — --- — — — <br /> I � ON <br /> DATEINSTALLED: � OFF SUB TOTAL <br /> /a - 1ti - 77 <br /> COO6 I L�ROR ANOEOUIPMENfAENIn. NOUR! PATE <br /> � -�CH�t_ZR ----- ,-`-- • --- <br /> - -- _ __ _ <br /> � —__ _ _�.3�h•vso^�---- � G __ --- — <br /> � �,j�--- -- - —. <br /> ��Z� ------ <br /> -�BoNr�i � �-- ---- <br /> --- <br /> � - - i z r----- ---�-� ---- -- --- <br /> --- --- - - � <br /> --�i — — -- _ __ -- _�.�4 -- --I _ _— — - <br /> � �3 — -- ---�� — — -- ---- <br /> � <br /> —'- TOTAL <br /> REMARKS: _ ..�?--�- - .__. - � . . . _. . .. . __..'_ <br /> T� •. , . � .f . " . r . . , _ _ <br />