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APPL. q I CITY OF EVE.IETT <br />No. <br />APPLICATION FOR WATeR SERVICE <br />❑ FIXED aV <br />DEPOSITS r1 h <br />1 <br />SERVICE (MY ADDRtee1J�---/�>f BLK.._.. - LOT <br />......ern I )] 1 P 4-_kbr # %4 F 1 At4 A I FP % -- _.CONTRACTOR — <br />II NSTA-METERED FO HEREBY AP Y mir- <br />ORDINAACES AND POLICIES OF THE WATER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNEO: X <br />SERVICE <br />ORDER <br />8 z <br />DATE <br />{.}C7� <br />!I/ <br />19�"5 ra_ <br />w o. <br />Nc <br />ADD - <br />oil <br />MATERIALS <br />11 IN. <br />1 IN. I E IN. <br />PRICE <br />AMOUNT <br />PIPE _ COPPER - GALV. - STEEL <br />CORPORATION <br />--� <br />— <br />CURB COCK OT <br />I <br />_ <br />SERVICE BOX PLASTIC -- C 1 <br />I <br />, <br />METER VALVE__— <br />NO. 7% 3D dILSS TYPE: freWEO'hj ti <br />METER ✓ <br />METER BOX CONCRETE SMALL LARGE <br />� --I <br />---- <br />-- <br />�1 ON <br />DATE INSTALLED: r yR"'S7 OFF <br />CCC'LABOR <br />SUB TOTAL <br />CODE AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />—� —_ <br />c.i4ttec I � <br />—TI—K413e 1_� <br />-- <br />TOTAL <br />REMARKS. <br />