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APP� ,�(JiiOq / � <br />Mo. s� f+�•V ,/ <br />� FIXED d <br />� DEPOSIT s �p <br />� <br />aERVIGE (e �aeec) �� <br />G NNE `y <br />GI7Y OF EVE.RETT SERVICE <br />ORDER NO. .% J <br />AFPLICATION FOR WATER SERVICE C.s <br />DA7� ✓ �-190= . <br />W. O. <br />No._ <br />�-.��_ �f.�Lf.iJ /�� BLK._. LOT.��A . J <br />� /,/ � <br />I HEREBY APhLY FOR THE USE OF WpTER IN AtCORDANCE WITH THE <br />ORDINANCES AND {'OLICIES OF THE l4ATER DEPAR7MENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CH�NGED. s�cHeo: X <br />MATERIALS $ IN. 1 IN IN. <br />PIPE COPPER •- GALV. -- STEEL I <br />CORPORATION <br />CURB COCK <br />SERV{CE BOX� <br />METSR VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC •• C I <br />CONCRETE <br />DATE INS'ALLGD: / L ,_z 2 <br />CODE <br />REMARKS: <br />fYP[: � Y. <br />SMALL LARGE <br />I �' ON <br />�U � OFF <br />LABOR AND EpU1PMENfRENTAL <br />; o�c ri?��'rr� <br />PRICE (� AMOUNT <br />SUB TOTAL <br />HOURS I RATE <br />TOTAL <br />