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2o �r � „ <br /> ���• h APiLICAi`lON �OR SERVICE e�Rvic�NV � s� <br /> 'No. _l D�l� ORDER <br /> "� CITY OF EVEREIT V1�A1'ER DEN1'. <br /> �IX6D DATE__���_1�� <br /> � D[r01t17 K p(u.�/ `, /� yy <br /> J�,�� No�_ —__— <br /> sao i4�rvi�P_ � 49ivo /�Ey �1 <br /> sRR�IC6 (�vAoollu�) _ BLK�LOT_._[_—ADD. �/��/1 <br /> OWNER v��CCOE �C�L-!JEl..fCIC GONTRACTOR <br /> �� FLAT <br /> INSTALL�I�ME{�RtD-SERVICE . . _ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND �OLICIFS OF THE WATER DFPARTMENT NOW EXISTING <br /> _ Ok AS SAME MAY BE HEREAFTER CHANGED. sicxeo:�. ..___ _ __ ___________ <br /> MAT[111AL1 }�' IN. I IN. 31N. <br /> — — I� —I PA�CE AMOUNT <br /> i <br /> P�PE l COPPER�GALV.-37EEL ;< <br /> CORPORATION �_--I <br /> I �� <br /> CURB COCK �OT� <br /> SERVIGE �OX /PLASTIC,• G I __ _I — _ I _ <br /> METER VALVE <br /> M[TER No. --� TVPE: �-- � -- -- -- — --- <br /> M[TER B07f CONCR[TE BMALL LARGE <br /> f ` � I __ — <br /> __' : n -',-�i� <br /> _ __�-_ _ ——_ — <br /> _ _ --I _ _ _ — <br /> — I <br /> -- _ _ ____ - I-- I —_- -_ ___- <br /> � � ON — <br /> DA7E INSTP.LLED: //��' /� •-, �. OFF � � ,7;; �� SUB TOTAL <br /> i <br /> CO�E I � LABOR ANO EOUIPMEN'f REt�TAL � HOURS RATE <br /> � _ _ �� <br /> � �rl '' <br /> __�i �__ I �. . <br /> =_�I��"__1J' , ____—__ _— __ -_—' _ —___ <br /> �-- I_�— <br /> Y�C1L1 '^ I <br /> I� ) �f� I� t <br /> Q� . <br /> I / % � ) <br /> � �I � <br /> - .7,-- --------- <br /> / � � <br /> _ - 4 _ `_ <br /> TOTAL <br /> REMARKS �� �.,' . , . . . . -�,- . .,; . ' . .- � � . _ . <br /> -- -- - -- -����-� ` _ - <br />