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i <br /> I <br /> I <br /> ArrL. ^�� - BERVICE <br /> No. J X CITV OF EVERFTT ORDER t�I <br /> v v APPLICATION FOft WATER SERVIGE fy� nQ5�] � C6 <br /> p( FIXED DATE__ '_._ ._/�r� p 19.U�� <br /> �c� <br /> � DEP061T s �:�_ N°�_ _ . _..._ ._ .. ___ <br /> BERVICE 1�Y �oDlln�l-���_ .'LI-/��1__.4�C�__ -___ _ --BLK. __. _ _LOT �__ADD�(,d�IC�LCLW�J <br /> / !�'/y� <br /> OWNER " �-___-_.________ _ __._ __ __CONTRACTOR. L.4C�Il�__ . <br /> �' ) I� LAT . _ _. . _ ..._. _ _ <br /> INSTALL�L� _M RED SERVICE-_.-_ _ ___.___ _.___. ____. - - .._ .__ _- . . <br /> I HEREBY APPLY FOR THE I15E OF WATER IN ACCOPD�NCE WITN 7NE \ c� A `/�� � <br /> ORDINAN[ES AND POIIfIES Of TNE W�tER OEPARTMENi NOW EAISTING 1\ �i,f <br /> OR A� SAME MI1Y BE MEREAFTER CHIINGED •icr+[o: X J <br /> M�T[RIAL• !W IN.'I 1 IN, � 3 I� PRICE •MOUNT <br /> PIPE COPPER-- GALV.-- STEEL i <br /> — ___ '_ .' ' _—__ _'-___ _____' _ __ _ -'- __ — _ <br /> CORPORATION � � � � <br /> _ _ . _ _'__ _.____ -_-_-__ . _- — . . .. . _- _ _ _ . .-__._ <br /> CURB CaCK UT I <br /> - _.__ . _ .__ .___ —_ <br /> _ _' _.___ -_. <br /> BFRVICE BOX PLABTIC •• C 1 I <br /> ___—___ __ . . . . __ ._'_'___ <br /> Mf- :ER VALVF. � <br /> METER No. TYPE: I �� I <br /> -- __ .. . . _ . � __ . —.— __ . . __ __ __ _ _ _-. <br /> METER BOX CONCRETE SMALL LARGE <br /> _- __'-_-___'_ _ __ _ . I __—I _____ _ .. _ __ <br /> _ '-- _-_ _'__' __ _ _ . . . ___ __- ___L_ . <br /> I _ _ _. <br /> _ '_I _ ' ' — <br /> --_I _. — <br /> I _ <br /> -__ _' _ ' _ . _.� _.. . .I _ _ _ . _. _-_ _- <br /> � CN I — <br /> DATE IN9TALLEO: � i� �(1 f1 � 'OFF SUB TO7AL <br /> Jlll. , � �� <br /> COD[ � LI�BOp AN EpU1PMENf RENTIL NOl1RS N�TE <br /> —F-L—I�1L1_! Q� _�- ____ _. . ._ . _ _— Cc:.iJ.�'•l)C'�� /,J I <br /> I —_ __ <br /> ----- _ _..__—__ —_. . . I <br /> _--__— ____ _ _--_'. — ._. __—._._. _ __ . ._ ___ <br /> � '_ --_ _—_._ I <br /> I . I <br /> _—___ ___._ __ . _ ..__ _ _ <br /> __.__ _ .. . ._. _ __- ___..—__ _ _ . _ __ � <br /> �—__. . __-_.__.. . _ .. . _ .__ -- _ __..._ __�.. _ _ _ ..__ � <br /> I � � <br /> TOTAL <br /> REMARKS: i <br />