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208 92 <br /> NOPL ZJ � <br /> v y'?i APRLICATION FOR SERVICE ncevicEN� 1�3� <br /> ��7'Y OF EVEREIT WATER DEP7'. ORDER <br /> �C�ED / p. <br /> � DEM61T s � j_��� DATE_C�O _�B 7L <br /> =f_�-- <br /> W.O, <br /> ! No._ <br /> S6RVIC8 c�r�coe��l � � L �G ----_— <br /> —BLK. LOT_ �DD. <br /> OWNE7t_ 1� . � ���q,��,� � r L -----__ <br /> /j /r �rJl T�"'�--�/1L�'J p CON7RACTOR <br /> INSTAL M�� BERVIC�__ ------- <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE W -_— <br /> ORDINANLES AND �OLICIES OF THE WA7ER 0[PARiMENT NOW E%ISiING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. �7 �y���� <br /> sicr�[o�(��.�!/�C��s�(fCs(�� �f <br /> NAT[RIAU <br /> PIPE Y: iN.��I s �_NTI � <br /> COPpER•-GALV.-STEEL PR'�E T <br /> CORPORATION <br /> _ CURB COCK OT -- <br /> SERVICE !O_X_—=-��gT�C - I _ _ <br /> .. C 1 � I <br /> METER VALVE ����� • <br /> M[TER No. -- — � <br /> - TYPE; � ---- - _ <br /> METER BOX --- <br /> CONCI1E76 9MALL LARGE -- --- --- _ <br /> � ' ' �-- .�- j , � f . .-��— �� I —' <br /> � � . <br /> � �� �/ i�D � ' I I__ — _ _____ _ <br /> � 7_ � 3 -- --! � - <br /> � -- <br /> - - - -- -- -- -- � - - <br /> DATE INSTALLED: I ❑ �N I I <br /> � �� � �� � ��AFF SUB TOTAL <br /> COOE i <br /> LABOR AND EOUIPMENi RENTAL <br /> \ � F � NOURS RATE <br /> -- -�--��� -- --- ---- I 7 <br /> i -------- - -�--_ - -- - - <br /> ---, ---- ---- ---- j-- --- - -- -_. <br /> _._ - ------- ._ �-- - -- <br /> -- -- - <br /> -- � ---- <br /> ---- <br /> � - --- <br /> __ ---- -------- V_-- -- ---- �---- � - -- -- <br /> REMA <br /> . J <br /> —J'_ RKS _�-'��� -__:��.. _ . _f. ,- __ �- ��_ . . ..-- t.'-'�L�. � __ \� <br /> TOTAL � <br /> � � __- <br />