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APP�v��� , APPLICATION FOR SERVICE SERVICE N° � 3 � l' <br /> No. ORDER <br /> ='r /���%i CITY OF EVER�7T WATER �EPT. ,i, � ,. „ _ <br /> � Fixeo dnrc '�� " - � --�a-�- <br /> �y DEPOSIT f �� �� � ' r W. O. <br /> 1Ri 1__—.___ , I <br /> � , No._ ___'_—_ .-. <br /> 9ERVIGE�ier�oances�_5-�?` � � ` ��� �'�/'�� <br /> BLK._.._'___LOT"__qDD.____ <br /> ,J', �.�ij—_�__.—_. —____ , ._—___— <br /> OWNEI�" r;r • �� u�.._'�______� • !(�� _.CONTRACTOR- <br /> —�----�-.�.�-.. ._. _ .__ .__ __'_'--__.__._-' <br /> INSTALL—�_METERED SERVICE__ .__._. _ __ ___..._ <br /> 1 HEREBY APPLY FOR THE USE OF WA7ER IN ACCORpANCE WITH THE � <br /> OHDINANCES AND POLICIES OF THE WATEfl �EPARTMENT NOW El(ISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicNm:X_ _. _ _ _ _ <br /> __._ ' __'. —.—____._'—. <br /> RIATkRISLB Si IN. 1 IN. � 2 IH�T, ppICE AMOUNT <br /> PIPE ` <br /> COPPER-� GALV.•-STEEL <br /> -__ '__. I . I <br /> _____...__—_'___"__.___' _._ '__—I�._'_ __ <br /> ___ _'__.'—_ — <br /> CORPORATION ___.__.__ _____ __'__ —� -i I <br /> CUl7B COCK O7_ _ _ _ I II I <br /> SERVICE BOX __ PLASTIC _•_C 1 ____ I I <br /> 17ETER VALVE <br /> —_ — '-_ _ _. __ I <br /> METER No I> � i+ i � ' TYPt.�`,�.^ �r.� �� 9i --_ —�-- _ __ _____ _ � _ <br /> — __ _- . _ i .__ —_ —. `. ,_ <br /> �i:TER BO% _ CONG�REfE _ SMALL LARGE I � , �3SI�`� <br /> /�"��-.5.�f�'���_�,t�_��1f��?- -- ---- -- -�-- -- �'d� <br /> --- --- -- - - -- —! �- -- -.-,� <br /> . <br /> -- -_-__ -__- _ --_ - _�_-_ _-_���-- <br /> � <br /> _ __ <br /> ---- ---- -- _- - -- —� -- - -- --;—,-- -- ;�-�---- <br /> ON <br /> DATE INSTALLE�: I � OFF SUB TOTAL I � 'f� . <br /> COOE I I.�OOp �ND fOUIPMENf RENTpL � HOURB RATE <br /> I----- __ — , ' /—�!_ <br /> , - -- - - - --- - - _ ---1- I <br /> i _ � --- — <br /> _—� -- —_—L_-- <br /> --- -- — --- � � — - - � <br /> - �- -- -�i � --- <br /> -� - ------- - - - <br /> ------.. - - - --- , - <br /> _ ---- -- - - - <br /> � __ _--- _ _ ----_ <br /> �--___ _ __ _ i � <br /> _ _- -- _ _ - _- _ . <br /> l,� � -�'-�_- <br /> TO'fAL �� I ; <br /> FEMARKS: "-- �_-- <br /> _, _. -. _. . _ ..i __ - . _ . _. . . . . . / <br /> � , ' l <br />