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qppL. ,G ���y APPLICATION� FOR SERVICE <br />No. <br />�� ��a CITY OF EV RETT WATER DEPT <br />� FIXrD <br />� DEPOSIT S �%���I <br />SERVICE (BY AODRE65)��� ��� <br />pWNER <br />JIsyU/ � FLAT �I <br />IN5T7ktL—� M63',�9-SERVICE-- —.--�^ <br />I HEREBY APPLY FOR THE I15E OF WATER IN ACCORDANCE H6�t <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXI <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MAT[RIALS <br />PIPE COPP'eR -- GALV. - STEEL <br />CORPORATION <br />`CURB GOCK�_ <br />SERVICE �OX PLASTIC -• G I _ <br />METER VALVE <br />METER No. TYPE: I iF <br />METER BOX CONCRSTE SMALL LARGE <br />DATE �NSTALLED:� _ ,3 _ ` � I � C7FF <br />Ic <br />COOE I LABOR ANO EQUIPMEN� RENTAL <br />--�' fe�— _ <br />, , ,.._ . ,- . <br />REiv1ARK5: <br />61GNED: X— <br />IN. I 1 W. I 2 �N. I I <br />� <br />SERVICE y� � 7 <br />OR�ER <br />o� —� 3 ._,��. <br />W. O. <br />NO. <br />.ADD. <br />PRIGL' II AMOUNT <br />SUB TOTAL <br />HOURS I RATL <br />G 3.l ��� <br />3/ <br />���,��I �y ���ti <br />�! <br />TOTAL �I %{�/LJ <br />— _--___— —_--�. <br />