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APPL. �j <br /> No. p(p`�� CITY OF EVEHE7T SER�ICE - - <br /> APPLICATIONFOqWqTE1+ SERVICE ORDER N� 6900 <br /> � FIXED , l��' ,O <br /> Q('l UATE_ _ �/ C/ <br /> � DEPOSIT s —� <br /> ..... � _ N'. O. <br /> / � No.__ <br /> SERVICE (Bv Do�EUI__S_G�v _���_�_BLK.. LOT__I_�_ADD._L\l'--'—�-- <br /> OWNEP_�� � <br /> ��-`---"_CONTRACTOR_.— __I�_{�-� <br /> FLAT (` , <br /> INSTALL _ REO SERVICE�(r ,����� ////// <br /> I HEFEBV APPLY FOR THE OSE OF WATER IN ACCOqOANCE WITIi THE '� _-- —_'— ____ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EIISTING � <br /> OR AS SAMf MAY 9E HE9EAFTER CHANGED. <br /> 61GNED' <br /> MATEq1AL6 �---- �-___� <br /> � IN. 1 IN. � 3 IN. I - <br /> PIPE P� AMouHT <br /> __ COPpER-. GALV.•-STEEL I <br /> CORPORATION -- �=i I__ -- <br /> _CUR9 COCK OT ----- --I_.— __�_ _ _ <br /> SERVICE BOX --- � <br /> _ PLASTIC _- G 1 I I�-- --' —_ "__' <br /> METER VALVE — —J___ __ <br /> METER No__ --__.. __TYPE: _ . __ . _�_ ' I '__ _ —_'___ _— ____ <br /> `' __—__..._ <br /> METER BO% CJNCRETE SMAIL LARGE � I -- ---'-- — <br /> ____' — .—__"._—_ — I _l.�_��___— ___.__. _—__ <br /> ----__ � . __'— __ <br /> _—_ '.__I —''"__— ___ _ '___ <br /> � <br /> —_.— <br /> —�--_ —_— '__. _ <br /> � —___._'_._ __ — <br /> _.---_ ___ '_'______.---_—_ _'__ I —I—_.__ ._'_" —'—___ _ <br /> / � I I I —�___— _'___ __— ____ <br /> f1ATE INSTAI_LE�: �1IZ'�/y=I �ON <br /> OFF SU9 TOTAL <br /> CODE I LA90q ANO EOUIPMENf q�NTAL <br /> �I� �- HOUpS q�1E <br /> � -� -__-.___�_ _�__._ _ _--____ . . -_-'" <br /> --1 -- -"-____ -_-___I_-_-- _' --_ . .. <br /> _-__I _--_ __-_-.__________ I .-- _' _.__ _-__ __ __ <br /> ___I - __-__�_-_. _-._._____ I _-__- ____-_- - - <br /> _-_�_ . _ <br /> -_- <br /> I �- _-_-_.__'_ I __.__ _ _ <br /> �� � _. _.___ _ _- __ <br /> ___"_-_'_-____- __«-_- _ __.- -. <br /> I -._- _.- <br /> REMARKS: �jl �_ z� �� l TOTAL <br /> —_—_'__- __—__'_—__ .__'.��-_ _ .. _ S__. _—_'__ '____. <br />