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a �► � �s,� <br />', APP�. -j: APPLICATION FOR SERVICE <br />N�� ����5 � GI"fl' OF EveK"eii i�/ATEk GEPT <br />� ED <br />I �.0 <br />� <br />i � DEPOSIT e��.� - <br />=�--- <br />� <br />SERVICE N� � %OZ <br />ORDER <br />OATE. �x �-19�Z <br />W. O. <br />', SERVICE faYAooaE55)�/�`/ � -��� �aa�}Q'� ��,-BLK.__LOT�'� �+DD.�-�'-�F���t'- <br />� ¢ �/ /� �o, 3�K �ys� P�nK <br />I OWNER � `-�-�---F-1=�N���'S ---CONTRAGTOf, �Y�v.v__WO�n <br />+��� FLAT <br />1 <br />I INSTAL �E - '- <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br />( ORDINANCES AND POLICIES OF THE WATER DEPARTMEt�T NCW E%ISTING <br />OR AS SAME MAY �E HEFEAFTER LHANGED. slcHEo:X <br />� MMERIALS �� �N• �� 1 IN. �_� <br />I <br />' II <br />� PIPE COPPE .•- GALV. -- STEEL <br />I CORPORATION �4y�/�. � _�_ <br />�_ _ _ <br />CURB COCK �T � � <br />SERVICE BOX PLASTIG_-IC'_ _ I_ <br />-�-j <br />I METEH VALVE <br />� METER NO. -_-___"_TYPE_ . �__I__�'__�_ <br />� METER BOX CONCRETE SIdALL LARGE _I_ __ <br />i _'_ ' <br />� <br />I� D�ATE INSTALLED: <br />COOEI �/Q <br />I I( �{�ln <br />� � ��-�.� <br />�'i .���� <br />� I <br />_. - _ _-_.'I <br />I � CN <br />_ 7 � �-� OFF <br />LA90R ANDEOUIPMEN�fRENTAL <br />i <br />�_ ��— _ _ � .— -' '- <br />.�__- __'_--_- - _ _-- _ -_.. <br />� <br />,___ � ��..-- <br />� I/ <br />I REMARKS: 3/i.�- �� ���LUE " I�I.['J��U�1-`_��L�I-Cl -- <br />I_.__._ - - -_ <br />PftICE I( AMOUNT <br />li_ I'—I—I— <br />i� <br />SUB TOTAL <br />I MDUFS � �ST� <br />