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NOPL p�,� ((J"!�/ CITY UF [VERETT ORDERE N� 6 7� 7 <br />APPLICATIUN FOR 6VATER SERVICE - �7 / <br />� FI%ED DATE 3 �--18� <br />` � W. O. <br />� DEP091T s � ' No.— _—___ <br />i1Cn,/; (� k �- . <br />SERVICE (ar �onn¢ee1--(-7-V-'%J t�� --BLK.._—LOT � a AD ��— <br />OWNE �- "����))'=���'-�`-� GON7RACTOR _ _ <br />INSYAL� JIY� FLTEqED SERVICE `Lj==T��LTT^ / �� —_ —..--__—. <br />I HEREBY APPLY FOH 7HC 115E OF WATER IN hCCOFDANCE WiT41 THE ���000^ <br />)R�INANCES AND POLICIES OF 1HE WATEfl DEf'ARTMENT NOW EXISTING /� <br />OR AS SAME MAY BE HEREAFTER CHANGED. BlcHeo: X�_ � __._ ._ _.___ <br />MATERIALS I�i IN. I 1 IN. I 2 IN. I � I I PRICE il AMOUNT <br />PIPE COPPER •- GALV. -- STEEL <br />CORPORATION <br />CURH COCK OT <br />SERVICE BOX PLASTIC •• G I <br />METER VALVE <br />_ . __'—..__— _ . ___.__— _'_'—. _'— _—_'__ <br />METER No. TVPE: I `s <br />_ . ..___-.__-___- _ __—'__..—_'_ <br />METER BOX__CONCRETE _ _ SMALL LARGE_ <br />DATE INSTALLED: �- �p <br />CODE � <br />=CJ ��O�G� O 1 _—'" <br />i <br />i <br />__—I __ <br />REMARICS <br />�/, ON <br />,�1i <br />�(� � OFF <br />LABOR ANn EOUIPMENfRENTAI <br />-� z�v53 <br />. _.. _. I'___.- <br />_I.— __ —. ___ <br />— i —_ —___— _ _ _'—" <br />_—_.. _-_' i _'_' '. __ _...__ _ . ___ __._ <br />__�_ __— — -.� ..'- '—" <br />�--_I— --__ <br />I__ __ _ ___-_ -- _ — <br />SUB TOTAL <br />� HOUFS RATE <br />—_I — __'_ — ".__' <br />_-- _______ _—__ ._ <br />_I _ _._ _ _-- ' <br />___'I�'". "._"__. ._—... ..__'__ " _— <br />TOTAL I I <br />