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�. t � � � ,� � ; .�_ .,,. <br /> --�tT�f-t��_ ��fEREfi� 1h1�ATER DEPT. <br /> APPLICATION FOR SERVICEANoioR TURN ON - SHUT OFF OROER , <br /> I HEflC�V APPLV FON THE USE OF WATER IN ACCORDANCE W ITH THE ORDINANCES �� <br /> AND POLICI[5 OF THE W ATER DEPARTMENT W9W EXISTVIG OR AS SAME MAVOE . <br /> HEREAFTER CHANGED. ', <br /> .rvP oco r�o. su❑ ��'.i "�° sa� uwrs ,� _ . <br /> � � nnrE �L �� ��r2.� . <br /> �v7 // .�C/D - .,u, / r% /b <br /> ��fC. �- <br /> IVI�PPLIUIION❑TOflN�ON❑SM�I!-OfP❑OiNEN — 1' <br /> K� ' // . /� / / <br /> �OOITION ���/(��.�'�"[�` ( C �s�- /� BLOCN _� LO�-3���� I <br /> SERVICE ApDAE55 —L '-- �� y� � �� � � I <br /> CONSUMER ��-- ��•..yl . ,� " (' 1!G�� /I OWNER m �,' <br /> L TEN�NT ❑ <br /> OWNER �_i J, . ,_ -c� TqqI'j,.$� , r:�}-<,.i ry_/.i _ i <br /> ��✓ . � �'/ +/__.. 4'1L�lG.a_� � <br /> CONTRACtOR �oonpss ,� / � <br /> RECEIPT � �PAID------- � <br /> FIXED ql,�p�NT SOO (�(L1..� i <br /> NUMBER /(]��[P IT EIVEO f �Y I <br /> SIGNED: X ' �7�' � I <br /> .�'3�. _ �%�t�t� w-+.� �.` � <br /> REMARNS: <br /> /�W��.ri' I <br /> SERVICE `���fr I <br /> OROER NO. 0Y— I <br /> I <br /> • ' ' <br /> I <br /> II <br /> I <br /> __ <br /> �� � <br /> � ` I <br /> ------ - APPLICAT�ON NO. � <br /> - �1 � � ,,, � <br /> N <br /> / I <br /> WORR COMPLETED L� _�� _`" `� 7 � --- <br /> �O tE R <br />