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No. 2 <br />c"IXED <br />D DEPOSITS <br />_l(l� <br />APPLICATION FOR SERVICE <br />CITY OF EVERM WATER DEPT. <br />SERVICE N2 2339 <br />ORDER //� <br />DATE _l Y/Lj1O7f, <br />W. U. <br />NO.. __ <br />SERVICE UV ADDRESS) ISD L gfST `T'• tS-� --- B K. LOT 25 AOD._���p� <br />CC.. .. !-r �j7�Pb.14Rotla Sl+Oa:T-- <br />OWNER - Cool-- m CONTRACTOR — <br />iJ 1 ELA <br />INSTALLRED SERVICE _— — — <br />I HEREBY APPLY FOR THE USE OF WATER IN nCCORDANCE WITH THE / 1 <br />ORDINANCES <br />SAME <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING _ N <br />OR E MAY HEREAFTER CHANGED. SIGNED: LQ�.-LLo 2! <br />MATERIALS <br />YI IN. <br />i 1 IN. <br />I t IN. <br />PRA:f <br />AMOUNT <br />PIPE <br />COPPER - GIALV. -- STEEL <br />I CORPORATION <br />1 CURB COCK <br />_ ___ _ <br />OT <br />SERVICE BOX <br />PLASTIC -- C 1 <br />_) <br />I <br />_ <br />__ <br />METER VALVE <br />_ <br />METER No. <br />METER BOX <br />I <br />TYPE: <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: �,,., //- 7 <br />ON <br />I OFF SUB TOTAL <br />coca <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS, <br />