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i <br /> I <br /> APPL. r� � [,?Q /� BERVICE <br /> NO. aL{{J I (�p( CITV OF EVrRE"i i ORDER <br /> nrri.icnrioN coF� v.nrEF. SEr�vicE <br /> � ° 7 <br /> ❑ Fixeo o�.re - -- �' i _ <br /> ❑ DEP061T s � W.O. <br /> _C�-- No.— __ ___ _ _. --- <br /> BERVICE1W�noen�l___._I.�.l- JU_1 � PL. _��..�i—.--_BLK..— ___LOL - _I -_ADD. I�,�JI�__ <br /> C <br /> OWNER __ . ____. ___ ____CUNTRACTOR_--__--__. — ___ . _ _.__—_ <br /> ��(J LAT <br /> INSTALL=1>_M RED SERVICE— _ ..._ _' _.._.___ __ _ _—___ . ._. - <br /> I HEREBY APPLY FOR THE USE O.` WATCR IH ACCORDANCE WITH THE `\ <br /> ORDIN�NCES �ND POLICIES Of TME W�TER UEPARiMENT NOW EIfISTING p v ' I I . /���/�y�,� <br /> OR AS S�ME M�Y BE NEflEAFTER CMANGED •ww[o: % 7 �--�� �^�� /'� � �' <br /> M/.TENIAL! 14 IN. I IN. � S IN. `PRICE ♦MOUNT <br /> PIPE COPPER•- GALV.-•STEEL ; ii <br /> — .__ ___.___ . ...--.--_ _ _. _.. _ —._ . _. . . .. . ___ ._.—.___ _-- <br /> t.ORPORATION I ! <br /> . ____ —._._ _ ._._ .___. ._.. . _ .__—__ ___— _�—_____ <br /> CURB COCK OT � I <br /> SERVICE BOX PLASTIC �- C I I I � <br /> _ — .__.__ _. <br /> . . ___ _ .__ - _-___'___' __..--_.— <br /> METER VAL�E <br /> .._—____ _ _ _ I _ __-- __—. _ _ ..__ __._ <br /> METER No._ TVPE: . � <br /> METER BOX CONLRETE SMALL LARGF i I <br /> __._ . . ._ . . _ ' ___---_ _ _. - <br /> ___—._—_' __ —_ ._ _ _. I� . _—_I_—L�_ . _ __ —_.__ —__' <br /> � I <br /> - . _—_ — _ __ _ __ — _ <br /> � <br /> — _ _ ' . __ ____ _—' <br /> _ _—_ —_ __ ' ___ _ .. _ —___._ _—_ __ I — _ _ ' : _.._ - __ .__ _'___ _'_ <br /> . . . . _—�____ �.._ __.I � <br /> —.__._—_—___ __ ..__ . — _ . _—. __. --_ <br /> _ . I � <br /> ON <br /> �ATE INSTAILED: JIJI_ � � I -� '•f' I OFF SUB TOTAL <br /> �t <br /> COD[ � LABOP �NO EOUIPYENf RENT�L HOIIR! R�TE <br /> _1�__��1 �1 R �I _/'e.;�,�',�c r.'�° -_ ' - - <br /> � <br /> — — - --- __----- <br /> i ----- --- ---- __ <br /> — - - - <br /> - - <br /> —,--- - I - <br /> TOTAL <br /> REMARKS: <br />