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aPP�.�O��� APPLICATION FOR SERVICE o <br /> No• sERvicc �_ 9 �0 <br /> �^' 3—^.�` CITY OF EVEREIT WATER DEPT. oROE�� � <br /> � FIXED �j DATE���_.._�f� �_.118 <br /> � DEPOSI7 s � �� ✓ <br /> -�—_ W.O. <br /> i' No, <br /> � (i [ / � <br /> SERVICE (BYwODqE681 � � � `�-�t{� ` -�.i <br /> ll� � . , BLM. LOT- �D[SJ <br /> OWNER_._�����L-C�L.'! �.,�f y ' �t, � <_ //. <br /> i i —CONTRAti l��l-�u.�i J�t�)�t-[� � <l� <br /> 7'La/t7`- �. <br /> INSTALL._�_METERE� SERVICE— <br /> I HERFBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WIiH TNE / <br /> ORDINANLES AND POLIQES OF THE WATER DEPARTMENi NOW EXISTING `- � <br /> OR AS SAME MAY 6E HEREAFTER CHANGED. 816NEO: X���,__`�fe!�"� I ���f r- {�___ <br /> MATEHIALB <br /> �w IN.� I IN. I 2 IN. I I AMOUNT <br /> - �� f'RICE <br /> P��'E COPPER--GALV.-STEEL I I I <br /> — - L � ��I ��.-. <br /> CORPORATION. I II ��/ <br /> CURD COCK OT — I II � I <br /> 6ERVICE BOX � PLASTIC - C I I �L I <br /> � METER VAWE � —I�-- � <br /> �� <br /> METER No. , ___ - , I --- _ � <br /> , , -. . � � . TYPE:' � . � .� .C., . . <br /> METER BOX . CONCRETE� ,SMALL� LARGE / � <br /> I �� <br /> — ""— � �I <br /> � <br /> _" - _ I I <br /> I I I I I I <br /> I � ON <br /> OA7E INF'i7ALLED� � �FF � I SUB 70TAL <br /> ��� �� <br /> CODE I LABOR ANfI EOUIPM[NT RENTaL � �- <br /> ��� HOUR6 RqTC <br /> �i' r n <br /> I � �U ' �'Lv� /� I>� <br /> � � — ��� � <br /> �^ �� � <br /> I — � �I � <br /> I--- --- ----I I� � <br /> �� - — ------ —-----I-- I; — <br /> �� TOTAL � �� <br /> R MARKS. <br /> �-�--� -.—r -- <br /> � , - - <br /> . , --- <br /> /� .-� ��- � <br />