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i <br /> � <br /> APPL. SERVICE <br /> No. � � �C�D CITY OF EVERFTT otxoeR <br /> APPLICATION FOR WATER SERVICE � ` � <br /> (((�ll yy11 �� �1596L,,( <br /> r:Ji FIXED DATE_��11�p[_�18.�TL_ <br /> tYY � ��r <br /> � DEPOSIT s �_ N O ____ <br /> SERVICE (BY AOUnEnel!r�s��j_� 7N -1.� q�y ) <br /> 1 Q�/� A— BLK._--LOT�(/nDD._�p_L�jA..IL I <br /> OWNER—L`�(YY�StI_CLI��� "`' ^ CONTRACTOR ---_— �', <br /> INSTAL, 3,� fLATRED SkRVICE__CL�Lu-W � ���1 7' I <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITH THE �1�.���J����—--__— ... .____ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /' , <br /> OR AS SAME MAY DE HEREAFTER CHANGED. elcNEo: �.t�l.� -- _� _______ <br /> MATEPV�LS I Yi IN. 1 IN. I 2 IN. I PRICE AMOUNT <br /> PIPE COPPER-- GALV.-- STEEL I i I <br /> CORPORATION � <br /> — _ ____ _ _I_—i_. _. __ <br /> CURB COCK OT � I <br /> SERVICE BOX PLAS7IC -- C I I I <br /> METER VALVE <br /> METER No. _ _ _ ._ TYPE_ I .p __ ----�-- ��— �-- -- --�— <br /> METER BOX CONGRETE SMALL LARGE I <br /> -__——___ .. ._. —I_—_ __ <br /> ' _ _--I I — __ <br /> —__ —_'_ —__'.—_—_ '—_—� �-� — — — <br /> —_—__—__—_ —I— _— <br /> —'_I I � <br /> —__ --__-- I-- : I I I -- <br /> DATE INSTALLED: !�/";�/�� I �O�F /�✓-L� SUB TOTAL <br /> f <br /> COOE � LABOR ANDEGUIPMENTRENTAL I HOl1q5 FATE <br /> �I __i— __._' —'— _ <br /> -�-��� TO--1 --- - ---- --- -- <br /> -- -- -- -- - I----- ---- - - <br /> --I ----- - ---i - - - - <br /> ---- - --------- -- --- -- - <br /> --� - ---- ----- --- - -- -- I'' --- - -- ---- <br /> I � <br /> TOTAL � <br /> REMARKS: <br />