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�PP�. °� G��� � CITY OF EVF.RETT SERVICE <br /> No, �/� qppUCATION FOR WATER SERVICE OR�ER rla�� � <br /> FIXED DA'fE__�� � <br /> — . �❑ ) � <br /> DEPOSIT � No�— . -- <br /> /�� 7 - /'� �( \1 II/ ' <br /> SERVICE (BYAO�RE881_—�pL�`�'� �� ��K._—_LOT—LG.,-ADL�J_LV� `-UIwA <br /> O`NNErz � 44��"�� � � CONTRACTOR --- -- - <br /> F <br /> INSTAL RED SERVIGE—.—. ----- <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ^� „ <br /> ORDINANCES AND POLIQES OF THE WATER DEPARTMENT NOW E%ISTING �� YV� V711i 1� / ,� <br /> OR AS SAME MFY BE HEREAFTER CHANGEO. BIGr+so: X l� � J V�'1/w� <br /> MATENIALS �i IN. t IN. � 2 IN. . I PRICE AMOONT <br /> PIPE COPPER --GALV.--STEEL I I <br /> CORPORATIJN � �—�--�—�—� <br /> CURB COGK OT I I I <br /> — __ —. <br /> SERVIGE BOX PLASTIC -- C I I I . <br /> METER VALVE I <br /> —__ � , _ ' �f_--_—_—.II ___ _.__ _— _ _—_ ___— <br /> METER No. 773 g rqsy TVPE: PrPGISi 5 � , <br /> �_._ —_—-- ___ - - <br />� METER BOX CONCRETE SMALL LARGE � 1---� --i��-� <br /> L-�'-L �`'� - 1 i -I II- --- <br /> L_ <br /> _ -- -I- --- - i <br /> - -I --. <br /> -- � <br /> --- - I - - - <br /> i I I I � _. _ <br /> � ON <br /> DATE INSTALLED: / � Z� '� � 7 I � OFF SUB TOTAL <br /> COOE I LABOR AND EOUIPMENf RENTAL j MOIIliS RATE <br /> I ✓•V� I-� -_- <br /> --i _ ' i K zi38�- � - - - <br /> � i <br /> ��'-� __ -- - -,___ <br />