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''PPL' eERVICE <br /> no. �S�f Fl� CITY OF EVF.RETT ORDER NO. � �) � G <br /> APVLICATION FOfi WATER SFRVIf,E p` <br /> � FIX[D D� 'EQ�-�.t�.-_1p1� <br /> � DE�061T � �Q �� • W,d <br /> _��.� �_. No.. .. <br /> r ( �Jj� p� / y� A C /8—?8—�- � -- <br /> SERVICE ��r�on�o��-L_���_ {_ODVl__�����{L�J�_�-.BLK._-___LOT__._ _ADD._._. � <br /> OWNERSI?�/� 4=`T�T1.4/:'e�.sap .. . _ _CONiRACTOR__- <br /> � FL,L- �� _.- __-.-_�-- <br /> INOTAIL_ G �q[rTERED 9E�1 _ . ___ __.__._ _______ -_-__ -__ ____ � __ <br /> ��__' <br /> I HEREBY APPLY FOR 7HE USE OF WATER IN ACCOROANCE WITH TNE <br /> ORDINANr,ES ANO POLICIES OF THE A'ATER DEPANTMfNT HOW ERISTING � <br /> OR AS SANE NAY BE NERE�fTEN CN�NGED. •iaH[o: % � .�_______ <br /> M�T(p1�L/ W IN. 1 IN. II IN. � PpIC[ •NOUNT <br /> � <br /> ! � <br /> PIP! bOPPER GAL.V.•- STEEL - - ---'' <br /> �_. _�T__-_____- __.- _- ._ _ _.___'__ . .-__i__. _ _ _- _ <br /> CORPORATION i � <br /> - _- _-_- ___ . -_-_ . _ _ . ___ ._ . . ._ -L ____ _. — <br /> CURB COCK OT i <br /> __ _ . _ _ �__ .-.. _ . ___ _. __ �— <br /> SERVIGE BOX PLASTIC -- C 1 � I ' <br /> ' _. _ . .._ .. _ �. .' �_ _' "_ — '-! ' ' _-__ <br /> METER VALVE � � I I . <br /> METER No. _ vi I/�C . TYPF-� l��d p(r � y 'i / � __I_—— __ ._ __ — _ - <br /> METER BOR CONCR6TE BIdALL LARf,E � �1 _� _ <br /> --- _ �' ��C���t/- �/�'C � � � i .._I � _ _ _ _ <br /> �_-- � .�a.yr'ON C�f<C�C ' I - —�--- - — <br /> —L_���r- /� �L,�•�'�c•�.c i� '_ __i — _ _ <br /> _� �- �� ,� r � � -- �--- --- _ <br /> L �lf'- 3 3 - --- -��- .I ,� � I I I <br /> � rl ON <br /> DATE IN:wTALLED: I �-� OF'F SUB TOTAL <br /> COD[ I L�BOP �NO EOUIPMEH! R[NTAL MOUR! 1111T[ <br /> � �_�� a o � y_r- �-' _y . -- -- — <br /> --���� _�,_�i.w� _ _ y/ 3 7 ��i f� <br /> —`��,�� a -�►. �o�y y/ -- --- <br /> —a�31--- - a �.�- � " � � �i� - <br /> y� -- — <br /> . ���,�_ � _ � �c�,,►._ •-.�. � <br /> - -- <br /> -- 'z� '—�-.lwi 3s–a s' , <br /> 2 � � � - �--1� — <br /> TOTAL � <br /> REMARN4: �� ' �� �i /J� '�� <br /> __..—�('___l1TVl.vw )� __ _. L+-c_�-�7_s'Q/ �007� V . �[�i�CiT3" ._ .G. <br /> �l e�/ew� � � � _s.l� <br /> n- <br /> l <br />