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APPL.' ���5 APPLICATICN FOR SERVICE SERVICE{�I° 1 0 8 9 , <br /> No. ORDER � / <br /> CITY OF EVERF.TT WATEPt DEPT. �� � <br /> �/�Lf.J j . I . DAT�—i i .1 . �Y_18���_� <br /> � FIXED ` /L � !� / i � .' ' , � � <br /> � >f �i� � W. O. ✓� <br /> C DEPOSIT g /l ��. • __,� } , No.-- <br /> SERVICE tBY ADDRE85)/' ?� ��a / �� ��,� �� { , � � �LK. LOT_ ADD. — <br /> �WNER —CONTRACTOR — � <br /> 4 _-,�c<���n-r , ' � � ' � , < <- ��' ''�_,t. ' -; <br /> � 1, ' <br /> NBTi��r `��� �7STEfS1'�. ��SERVICE�_��l L � �• ;• f � : , � <br /> 1 HEREBY �PPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE � -r � �'� <br /> ORDIHANCES AND POLICtES OF TNE WATER DEPARTMENT NOW EXISTING'" (� � � - � '� ' . ` � --,'� ! '`�"�� <br /> OR AS S�ME MAY BE HlREAFTER CHANGED. ei^.veo:Jl_�=S'-==-�=-''='� � � — <br /> i <br /> MATEfilAL6 � li IN. 1 IN. I 2 IN. ' I �FRICE � /.MOUNT <br /> PIPE � COPPE� G.4LV.•-STEEL � _ �_ I I �I �1�1IQ <br /> CORPORATION I I I'I y�' '7II� <br /> GURB COGK OT _ _ I —�I—F-'D� <br /> � � I �Q� <br /> SERVIGE BOX PLASTIC C I _ _ _ - <br /> METER VALVE _ _ _ —.---- -- - �- <br /> METER Nu. TYPE: I i5 __ __ - <br /> METER BOX CONCrTETE SMALL LARGE _ I <br /> --�� � L-- --- � j� 3i06 <br /> � i� _- J -I - �� <br /> - - I � <br /> I <br /> --- -----� - <br /> I I I I <br /> DATEINSTALLED: �� /��" / I ❑ OFp • \\� � • ' SUBTOTAL �� � <br /> t <br /> CODE , LpBOit AND EOUIFM �Nl'RENTAL I HOUqS RATE <br /> - i -- ,1,� ?Z �'�T—_ --'—� —� –I-- <br /> -- �r L � ! <br /> — � ��/��/J-- -- �_� ---��i ��-- <br /> � ---'__.l._'.[��.L����---------- -- I <br /> � — -- ----- I - --–� �' �— – <br /> -- - �2 - ' � ��' I��l- � � � � <br /> ------------�-- --- - � � <br /> � / <br /> — TOTAL �� <br /> REMARKS: __ 1�� <br />