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xr� <br /> nn <br /> a� <br /> G�H <br /> 9HN <br /> � x9� / SERVICE o i <br /> � 'L'� N,PL. CJ �4'..-Z .. CITY QF EVEREI'T ORDER N- 7319 I <br /> H71 <br /> 1PPLICATION FOR WATER SERVICE � <br /> O x O DATE_—�3----i eL � <br /> � VJ H � FIXED /� /� -� I <br /> T. n11(T�NU �' ; /'`1�T. w.o. �I <br /> x Z r ❑ DEPO5IT s ��C) � .. ' ' _ - i No.--_- �, <br /> � y� ��/��) ������ . '��___BLK.___—LOT ADD._ <br /> �7 SERVICEur/�oou.,�n-_�-Z�-+���— <br /> HC�1 O `,�/�' �� ��r����' _.—_- <br /> [�. O OWNER:�F.L.�1-'1- l=1-d•-",'�-�I-L`_� -__CONTRACTOR_ -- ---- � <br /> H rj/ � i� �T-� I,-�'�.\ _' <br /> aH�' INSTALL_�.=�A:_�7EREJgERVICE___ - ' -_--- -- \ � . -.-- . <br /> C' H N I HEflEBY A7PLY FOP iNE USE OF WATER IN ACCOR�ANCE WITM TNE A 1 \ I <br /> ONOIN�HCES �ND POUCIE> OF THE W�TER OEPAHiMENT NOW E%ISTING BIGrvs -%--�i�C-l�L-�-���- <br /> C7 � ON AS SAME M�Y BE NEPEI1FiER CN�NGED. <br /> � H <br /> ('] �(J] MATCRI�L6 I L' IN. 1 IN. 3 IN I PRICE AMOUNT � <br /> �,�' �� PIPE ?L�� � ���� ��� COPPER�.GALV_'"STEEL.�L<�=' ��L� I - _L'-._ . ' _-_�'_-" " � — — <br /> � • <br /> y O N CORPORATION -;'l��J/O�� _ J _� __I �_ I . _ li . <br /> �—_— — I � � <br /> CURB COCK OT __ I - <br /> SERVICE BOX PLASTIC � C 1 I I_ � _ _. � <br /> METER VAWE - - _--. ._ _. _ - _ - - --- '— '-- . <br /> METER No.��(�5.� �_/ //' TVPE�. \ . _ I "___' —_ --I ___ ___ . . -' <br /> METER 00%C) CONCRETE-y�t �MALL ) LnRGE / �__I_ _ _ _ _ <br /> 4�� <br /> �""�` � � 3s0-�--`-��-`�-/-- -- - --I � �-I--- <br /> ' � ���sZ���-r(-`��— -- -- � —� ----- — — - — <br /> �l,-�. �n�����,�-- T =— --- <br /> �" i �. �, �� �2���7y, �> �_-_ _ 1-. -- - - <br /> " �—_. � — L�'� — --� �� I � <br /> ��-' �-��`� t � - , — -- -- <br /> I � ON <br /> �+. ...e � r. �' SUB TOTAL <br /> DATEINSTALLED:/ / . / � OFF <br /> COOE �i LADOP �ND COUIPMENf RCNTI.L I HOUR4 H�TC <br /> ', � ' —I--��`/ ���-_--__ <br /> R-. �. /�. -. -_ ____ . _.__' __ --— <br /> � ���— -- . _ -- ._ __-_ <br /> �- � � _� i U .r���<��— _.,� � I--- -- <br /> '4ul �.. t. ., i..,�.. I <br /> —' �-1 5 �--- - — --ar.r+�<-,r<.---- __—� -- -- — <br /> _ ---I— � �n�---- - - � M,.�.�,;.•'..��___ — —�-- ---- — <br /> f.. i <br /> � � --- - -----__ .. __ —. .-- <br /> -�. � --, -----� --�--.. <br /> i <br /> — TOTAL <br /> REMARKS: ' _ -_. ._. ___- '. __'_-'_____._. <br />