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H O H <br />� � � <br />9H <br />oxx <br />C H <br />9HN <br />r <br />H H <br />FC C] <br />H� <br />O�O <br />'TJ N �+J <br />VJ H <br />�O� <br />Hl7 <br />O F+ <br />H/��g <br />y� V C] <br />z>y� <br />r �-+ H <br />� <br />c�eyv, <br />�G� <br />zyw <br />HO�n <br />ia {�osf„2,I 7-�; ��� <br />APPL. Li�/]O3 CITY OF EVEREPT <br />No. �%� � qppLICATION FOR WATER SERVICE <br />� F�XE� <br />� DEPO5IT��� I!n ��� <br />� q <br />`. � q/,,�y,�y�� ��y^y�,�7I, /"� lJ <br />SERVICE 1 BY ADORE9i 1—IW-�-� �-+-�-F^+-��--BLK.--. <br />OWNER_�/�- _CbNTR�A/CTOR__. <br />IrlSTALL.S�-'l� ME ERE SERVIC _— ._----- �� /-1�--- <br />I HERE9Y APPLY FON THE I15E OF WATER IN ACCONUANCE WITH THE <br />ppD SASAME MAY BELINE EAFTEN CHANGEDOEPANTMENT HOW E%ISTING e�Gr+ED: X <br />...��..... � I$ IH.I 1 IN. � 2 . � <br />PIPE COPPEN--an�v._-oi_ <br />CORPORATION ___ <br />GURB COCK OT _ <br />SERVICE BOX PLASTIC -- C I _ <br />METER VAWE �_�_ ___.._ _ _.__ <br />METER No.�C'��.-- _ TVPE:�JF��LLNI._,5-- <br />METER BOX CONCRETE__ _ SMALL LARGE <br />'_—"--ii�-�i�i��i-----__—'_-_- _ _--__ <br />----Wtlt-t7crtaf;en IInzervice--_ -- _ � <br />_ �—�pi�tirnts-witHout- �a <br />�ncktlotiv Pmvention C9nsullalior�-= ____ _� � <br />,r_r_insi�r__ -- <br />, �---�-- I n ON <br />/ <br />DATE INSTALLED: j� OFF <br />COUE I LABOP ANOEOUIPMENfPENTAI <br />�i '1-��-� . - --- - - -- <br />� - <br />ORDERE I`�° 6681 <br />DATE_-�—� i k� <br />W. O. <br />SUB TOTAL <br />MOURS RAT[ <br />II � <br />- =� -- --- <br />-- ,---- -�.- <br />-----i - - <br />-_ __ __ _ <br />REIA.�.RKS: 6 G_'O__ . f/�_�-____ ' _ <br />— ----Lf'11�A�4_�__ _ �' � `�?=. <br />AMOUNT <br />