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i <br /> xr� <br /> r�n <br /> >ti <br /> A�H <br /> C x� <br /> y z t�-+ <br /> K C� <br /> �3 xl <br /> � � <br /> H'�J <br /> f/�H T/�� p/� <br /> H C ArrL. \" CITY OF EVENFJ�l�l/STI��G 11 -I� ��� �_ s�!�cE ��o � � � 4 <br /> � y b No. �%• c�r� � <br /> APPLICATION FOR WATER SERVICE n� n iB� <br /> ! <br /> OH ��, �� SIR DATE � <br /> � �o ❑ F�XE� ;�, TO POSTING '_ �-- �-� <br /> H C� � DEPOSIT s 1�__ No._._--- <br /> ZH3 / �� � � / <br /> r �z (�� � /(�) 7 �� �'"' /i l � �� L24t711J1E.-L <br /> H H SERVICE (ev eooncua�--��-L-"-_-i--7 J�" 1�1-=-BLK. -_--LOT_. —ADD._ <br /> � N OWNER- `-' " -E:Lr� - �' -� / �SSd_CONTRACTOR___- ------ <br /> O C7 C� -1 <br /> � FLA V L �/� <br /> � �� INSTALL__�/�—METERED SERVIGE___.!_�I"� ..—�— � ///�XFvL ,�� .____-- <br /> 5._-_ <br /> i HEREBY APPLY FOP THE USE OF WATER IN ACCORDANCE WITH TME � �_ <br /> y �N ON�IMANCES AND POLIGES OF iHE W�TEH OEP�riTMENT NOW E%ISTING g�eNeo: X � _ - - � -- -----�-- <br /> OF AS SAME MAY BE MEflE�FTEfi CNANGEO. <br /> MwTEPIAlS I L �H.I � IN. i 2 IH. I � PRICE � AMOUNT <br /> P�pE CUPPER �� GALV. -- STEEL I i � �I ___I <br /> _"__. _._ _ _ .- r .-.�--_-".—"_ - � <br /> I I <br /> i <br /> CORFORATION . 1-----' ���,I- -�i ' - <br /> - _ �_ .-_-- . <br /> CURB COCK �T - I � - - <br /> _- -'_ '-_ -- � _�___ ._ . _-' _ <br /> � �� SERVICE BOX PLASTIC -- C I I __;. ... . _ . .. _ _-- � . <br /> . . -_ .- . ._..._ _- _ I � <br /> !'�'� METER VALVE ' - �- � <br /> __ <br /> ___.. . . _ _ _ _. .- .-.I- I_ . <br /> __- <br /> METER No. TYPE: ^ _ . I_ . . _--- -- -- -- . <br /> _.. . _.__ . _ <br /> __' <br /> 6.�_- .e _ -_ I <br /> ' METER BOX CONCRETE SMALL LARGE . _ _ <br /> —'_—i <br /> ._ .. .__ '-_I _ <br /> R: e�LL� � <br /> �_ . _ __ . <br /> _ . ___ ._ .__ _ _ ... .. . ... �I I <br /> .___ ��f .. _. _ .__ . <br /> I � I __ __ <br /> .__ � <br /> � <6 —_ - I � I <br /> I — <br /> ___ .._.._ I � � <br /> .__ __ . . .. . I I' <br /> _ I <br /> . �_ _.._ .. _ .— . .. ._—_- . -. <br /> . . ..s _ __. . _ ._- . _._ . I I ' _ � I <br /> I � o� <br /> DATE INSTALLED: <br /> � OFF SU� TOTAL <br /> '- LAOONANDEOUIPMEN�AENT/.L HOURS RATC <br /> ' COOE �, <br /> _(1�I�I�\�� `-: ___ _ .._ _ . _ _. . . _ . . _. � ___." _.-I. -__ � __ <br /> ._. .._.__. <br /> -_- <br /> �u 1� �� — .__"_ _ _ ' .__.— . ____ —_- _—-- —___. <br /> --- <br /> �... . 1 uil : �Ibl,.� "___- — <br /> __ I — `-_�;(��IC;iil9 _� .:-ii�lUU� il _—__ __I _ . __'_ <br /> . -- �.`:^i�u0''f'f�:•.^..i1tiCIT'�G71�t3tiKJ{�'___--'__I .. __-_ _.-.--- - <br /> --'__-__. ___—__-'___' <br /> _-_-_____ _ "'____�-._. _ _ <br /> �' '_ _ '__- . _-_ ____ _ '.- _ <br /> _'I_"-'-_ __-___'__' _-__. _-_.__ _ _ _.__ . __. . .. �__' <br /> — TOTAL � <br /> _ ___lf�L�YJ-�6-�� � � ._. __-.-__�- <br /> REMARKS: � , ._-__ ___ .. . . -_-'__.__.- _ <br /> _ -/ .`� - ._�_. <br /> . . � �c ... .�_ . ._ _ '. [, -_ -. v. , <br />