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i <br /> � <br /> / ? CITY C�F EVERE f i 3EPVICE <br /> APpL. � lf�'JC� / . <br /> No. APPLICATION I�OR W�TER SFItVICE �'RUER C � 5 � g <br /> 0 <br /> � FIXED DATE_ _.�'f�l�- __ 10 �C. <br /> J <br /> rt-✓DEPO6IT �O �� pWj' O. I <br /> y�i - --- ----- <br /> -l (��/ � //�� r.c . r „ ��/l� <br /> BERVICE YA DII[��1--�S.Y._U-_!_Ll_C��'J1L�_BLK. _ _-._LOT__�_ _AOD.��.�_-S�- I <br /> OV/NER-- �I� K��-.2.-_______CON7RACTOR____-___._-. __ _. _.__ _ _-___ II <br /> INBTALL� ETERED SERVICE__ - . . .. _- -_-__-._ _----___. ( _ . �J ___ . <br /> I NEREBY �PPLY i'OR THE USE Of WATER IN ACCORO�NCE WITH THE _�.�(trN/n �('��" S `''=S/ �✓YZ '', <br /> ORDINANCES AND POLICIES OF THE WATER DCC1ATMt'4T NOW ERI5TING C:��v \`._ <br /> OR AS SAME M�Y AE MENE�fTER CHANGEU ■ICNco: X - -���� . c" ��[� . <br /> MATERI�U M� IN.I 1 IN. � 2 IN. I PRICE AMOUNT <br /> PIPE . COPPER•• GALV.•- STEEL _I--'' <br /> _ _ '._-__-'._ ._ _. _ -'.` ' 1_-. . _ __ . '.._ <br /> CORPORATION I I <br /> . -_ _. _.__-- �-._ . . . _ _ __-_ _ _._ _ ._..._ <br /> CUFIB COCK OT I �� � <br /> _ ___.____-__- _ _. . ___. <br /> SERVICE BOR PLASTIC �� C I I <br /> METER VAWE i <br /> METER BOX � CONCRETE SMALL LARGE <br /> METER N2 __ __ TYPE: I '� i _. . __ __._ : _ .._ . . . _ _ __.. <br /> _ .. . . . .-I-�__._ . . -_ - _- _. <br /> ___'-_ . . _._ . . I ' _ -I � ' - <br /> __ ____ '_ '- _-'. . .. '_. ._ _' <br /> __.__ ' . _-' -' __i- - __ - <br /> _-_-_-_ __' -_ _._ . _. .. .. , <br /> � <br /> _ __ -_ -_ '_II__ _ ___ <br /> --_ -_ _ . . _ _ _ '_- I <br /> 1 / DATE INSTALLED: I 1/ I� OL I �OFF SUB TOTAL - <br /> � o-v <br /> COG[ I L11BOP ANO EOUIPMENf RENTAL � MOIIRf R�TE <br /> I __ Cv/li'(�GqLNd,Q --- I – � - - -- <br /> �— _.___ - � – <br /> --_ ___. _ _ _ . . _ _. __ _ . - I–_ _ - __ _- .__. <br /> I � <br /> __._ _ _. –__–___. ... -. __. _— <br /> ' _ _._ <br /> — __– . . _ _ _ . ._. ._ - ___--_.__.–___–_- . _ <br /> � _ .____ .. . __._ <br /> .---..- .–__ - <br /> —I - ... _ _ _ —_ <br /> I <br /> TOTAL I <br /> REMARNS: <br />