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No"" CITY OF EVEREIT SERVICE n - n <br /> NO, <br /> APPLICATION FOR WATER SERVICE ORDER <br /> FIXED eo DAT ' _•<� _ 19- <br /> F DEPOSITS ny W.O. <br /> SERVICE (BY ADDRESS) <br /> OWNE4-�-/xIr' —CONTRACTOR-- <br /> INSTALL_ TERED SERVICE _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI THE <br /> ORDINANCES AND POLICIES OF THE WATLR DEPARTMENT NOW Ea STING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. rioNito:X . _ <br /> MATERIALS 16 IN. 1 IA. E IN. PRICE AMOUNT <br /> PIPE COPPER--GALV.-- STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE <br /> METER No. TYPE: .; <br /> METER BOX CONCRETE SMALL LARGE <br /> I _ <br /> I <br /> I <br /> [� ON <br /> DATE INSTALLED: 3 // CJ OFF BUB TOTAL <br /> CODE LABOR AND EDDIPMENE RENTAL NOUN1 RATE <br /> 6'y C ON��Nr�c�a -- S 1 H-2 <br /> I_ <br /> I <br /> TOTAL <br /> REMARKS: <br />