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AP'� � CITV OF EVERc'TT •EP�icE 1 <br />No. /X�� .� � ORDEW N(l. �.� I y <br />APPLICATION FOR WATER SERVICE �(/�/��� / <br />� rl%!D � DATi6��=.,.�C._. __1L� <br />n DErOfIT � 0 W. O <br />_ '—. _ /I /� No.— _ <br />![RVIC! ��%�yr wco n 7' ��l �',� �`�`__ . _.__JSLT _.BLK.._ __LOTL_ ___ADG.riG�i��2i�/ <br />OWN[R�fi� � ��'[/ ' CONTRACTOR_ __.. <br />_ _ _ - _ . __ _.. _ - ___. _. _ -- ___— <br />INBTALL �__MlTERF.D SERVIf.E_ _ _ _ __ __ � <br />I NEREEY APPLY FOR THE USE OF WATER IN Af.COHDAN[E WItH TNE /% ��� -- <br />OqDINANCES AND �OLICIES OF TNE WATER DE7ARTM[NT NOW E%ISTING /� <br />011 AS 811ME MAY BE HER[AF7EN CN•NGED ncr+eo: x � <br />MAT[IIIAL� Y� IN. 1 IN. � i IN. ►111 [ AMOUNT <br />r�'E CO►Pk N-� GALV. •- 3TEEL � <br />_.______ __ ____' _ _' ____ _ <br />.__ _'—_'_ __i <br />CORrORATION - — <br />- _— _.___._. ___... __._ _ _ _-__ <br />__ _'___ ' __ '— _'— <br />CUR! COCK OT � �, - <br />_— _ .'--__ ___—._._ ___ . ___— <br />lfRVICE OOX _ PLA�TIC �� C I I <br />METER VALVE �- �- <br />METER No. ���. �... � TYPE:� I , ' . <br />MET[11 SOX CONGRETE $MALI. LARGE I �� <br />I _ _ __ __ <br />_— '_ _-__. . _._ . i __'I__ _. . I -___- __ _ <br />DAT! INSTALLEO� <br />COD[ I � <br />�-- ---� <br />-� <br />I�� ' <br />�___ I I I I ' � <br />[7r ON <br />1� I ❑ OFF SUB TOTAI_ <br />LA�OR �NO[OVI�M[NfP[NT�I MOURf R11E <br />GBivr�Prtur"d..p I <br />— -- <br />9�77/0/ - -_---- �- <br />� <br />i __. <br />i-- ___. <br />REMARKl: <br />. _. -___. _- . _ _ . ___. _ - � <br />