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APPL' / J� � APPLICATION FOR SERVICE <br />ICD. - G./ <br />��kJ,� CITY OF EVE6:�tiTT U/ATGR DEPT. <br />�t,� FIXI"D <br />iYf DEPOSIT g ��QQ� pn <br />�v l ' <br />SERVICE(�yADORE0u1 `� � "�/�����C�!_/✓�`u-�__ <br />'��`�'�R�-� f� METEP.EC SERVICG__ <br />I NERE9Y APPLY FOR THE USE OF tYA7ER IN ACCORDANCE IHIiN THE <br />OpDINANCES AND POIICIES nF THE 1tiA'(ER DEPRRTMENT IVOW E%ISTIN� <br />OR AS SAME MAY BE HEREArTER CfiANGED. <br />sicHeo: ;c.f <br />..IATERI�LS <br />�- i IN. 1 IN. � �-�N. <br />PIPE COpPER -_ <br />- ___ GALV. -- STELL _ _ _ _� <br />CORPORATIOry � <br />CURB CO�'K _Q7' _ --- � <br />SERVICE BOX __pLASTIC -• C I I <br />i <br />METER VALVE [ -- <br />METER No.���Q'"r�S�/�,J%Z.3TYPE: �' i�,�. I_,.y.,, <br />METER BOX CONGRETE SMALL LARGE <br />; � X;a:i /L�^ �CX-G �' T.1� _� / 7G- _--I <br />�4 tJ I <br />��/��J'� �0 � � [� :.�� I <br />/ ��� /p �` � ' ; ...� � ���� <br />/� /�Y, (� //!// I i J)/)%i Y/'/i••f 1 <br />�=`s�f4%�'/i/O -//�,`f)f h .�:')!I'GL�Ci7j J. <br />v�r _ <br />— I � ON <br />DATc INSTALLED: ��� ;� G „_/,G O'� <br />CODE I LA00R ANO EGl11PtdENT�iJTAL <br />--__" �__-___ <br />� �7 - <br />REhfARKS: <br />�-� � � � -- - <br />/_� _�J �- _ <br />__"_ �/r'` '. <br />SERVICE y� 6 n J <br />ORDER <br />� � �-1 �� <br />w. o. � <br />No. __ ___ <br />PRICE AMOUNT <br />SUB TOTAL <br />FUlIqS � pqTE <br />TOTAL Ir���''L�I�QC_ <br />/,/ci33 <br />— --_____ � � -- <br />