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� <br />4 <br />AFPL. .� � r�J� / <br />Ne. �� � <br />�'� FIXED <br />Qi" <br />I..'; DEPOSIT f. �J OO <br />CITY OF EVF'1ElT <br />4PPLICATION FOR NAfER SH�VICf <br />SERVICE <br />OR�ER NO. . " <br />DATECL'C7 � /JS. -.IB'��.�_ <br />W . O. <br />NO._.._._"'_'-_"_-_ __ . <br />SERVICE �ev �oone���_4�{c'_� � 0 _ ��:5""_«r=-_ _.BLK. ______LOT— <br />OWNER y/''u��_ _�..!.i�i.tdi"� .___-'_ . '_' _"'-CONTRACT�R_ _--_— <br />��J !� FLAT <br />IN57ALL ��1.�_'. __ ET�RED 9ER-V-1 E -- - � - - --- ----. _.---- <br />`�_- _.._.. . . . <br />I HEREBY APPLY FOfl THE USE OF WhTEH IN ACCGRDANCE WIiH TME <br />OFDIN�lNCES AN� POLI�IES O� �lIE WATER DEPARfMENT NOW E%ISTIHG <br />OR �5 SAME MAY BE HEflFAFTER IMANGEU. elctiED: X._ �i �]_ .. <br />MMEPIALB �i IN.I � IN. "i 2 IN. � � <br />I � <br />PIPE COPPER -- GALV. -• STEEL I I <br />--- --- - - ------. <br />CORFURATION ' <br />CURBCOCN OT _ _..-_-__-____-___ —'--� _ . <br />__ __ —_' <br />--_ - - _ _ . . . _ _ _ _ _—_ -'_ — _ _ <br />SERVICE BO7( PLASTIC �- C 1 I <br />- -- . . . . . ..--�--� - — --- <br />METER VAWE !I � <br />_METER No.._� I L�� . p TYFE:�,v/ '� l � <br />METER �OX_ CO _ l ��nL MALL LAR � <br />---- - - R P- �2 1 ,.%-� <br />./-- � <br />- ----- _ _ - _ _ _ <br />� <br />----- - � <br />- - - ---- --- <br />, <br />- _--_—._ __—___. . __ _ .. __ .__ __ __'-__ <br />� I I <br />I <br />^�� _ ._' <br />—I PRICE —AMOUNT—_ <br />1 I <br />1 � <br />I � — — <br />1 i _ '_ <br />�� -�,- __= r- <br />DATE INSTALLED: I �� n� r7 �� I �OFF 5U8 TOTAL <br />�� e <br />C006 I LAOOqANpEpUIPMENfRENl�1. I MOUH9 ��TC <br />i y,i.f,���� - ! � y'z . - <br />- ------ --- ---- - - <br />� � <br />- - ----- --- - --- - - ---- -- . -�.00�i __. � --Z_. <br />-- =---- _ — ' <br />-i - -- (� SS!%/�3 _ . <br />-- --- _ _ - __ _- ------- - _ <br />-i <br />- -- - - -- .. ---� - - - <br />---- -- _ _ __ I <br />I <br />TOTAL �� <br />REMARKS: b ' <br />✓j1:A�'�.rAt�ifT�S�'�+��14i)r-�tl�'P[.•� �4Y�--(-.,Ir1P�:-{l�tL 7�l=4-V.��I�I:IFi'(.2�=�4L <br />� <br />;'. <br />�~ <br />N ^. <br />f'' <br />0 <br />C �. <br />f`1 � <br />t <br />� �_ <br />O _ <br />�_ <br />-1 . <br />m <br />O : <br />C <br />n- <br />�:: <br />-i v <br />< <br />O T. <br />--1 � ` <br />_ <br />�, _ <br />0 <br />� <br />o� <br />nr <br />c v <br />3 � <br />� <br />� <br />�r <br />. r� <br />r <br />� <br />1" <br />