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, <br /> NOP�'��'�� CITV OF �VI:RETT )RDHRE N0. <br /> ��I'�_ICC.i I�iN POF; WATER SERV�CE ��� ))) ��, <br /> � FIXED � DA�.[_,�,_��_—iD.� <br /> 1 / <br /> � C1EF051T 1. `�C�___' No._—. — <br /> _ I /�y � -- _'—' <br /> '�C 1 1� � ,7� �"-Sl BLK. _LOT(L�. �)2�.fj� � <br /> SEIiVICE i�r s.ynn[es�. �h� -j �'_ . ___ _ " (/ <br /> -f�/ � / f /. <br /> OWNF��a,. ��l�'�fl_lGR ��I=�! � j.r��- .+ lL�'_� CONTRACTOR _. .... ._'.' ' ._ __' __. '— <br /> ;. o {r�r_ <br /> INSTALL—.�{/. _.lMETERED S VICE\: . . _. . . _ . . .._ <br /> i � <br /> _'_ _ _-- _ - _'____ <br /> 1 HEflEB✓ APPI.Y FOH THE h5E OF `NA"ER I:J ACGOROAHCE WITH fHE � �-' c—_� <br /> Ofl01NANCES AND FOLICIES OF THE WA EH UlPARTMENT kOW El(ISTING "- � <br /> OR AS SAME MAY BE HEREAFTER CHANGED elcNFo� %� ��:�.� L�_�- "-_t�. . . <br /> �� 3 IN. � P910E AMOUNT <br /> �_��_ ���. <br /> PIPE ' � COPPER�� GALV. �- STEEL � 1N � ' 'N I <br /> ____ <br /> _ ___. _.._ _.. . .._ - _ ' .'_'__. _. _ _ . . <br /> —__ __ . '_. _ —__ .__ <br /> CORPURATION . _ L_ � __I ; <br /> _.—_ . . ' . ___.__. . _ '—. .__ .— '—__ <br /> f.URB COCK OT � I �' <br /> _— ___ . . . ,. __.. .. _.. ."'_'_ --___'._ ' . ._— _.._ _.. .____ <br /> SERVICE BO% PLASTIC -- C I � <br /> _____. _ _. . .___'—__ —_" __. _'.. <br /> MEIER VALVE <br /> � <br /> I <br /> — __. _. . _�_ __ __ __'_.. _' __ ."_ _ — <br /> METER No. v .l� i. > TYPE�(,1,� ,: i '', : L__ . ___ __— _ ._. . <br /> _','-. _ . ' . __ — _— __. .___ . <br /> �EfER DOX CONCRETE�i - �� ���' SMALL LnRGF �I'� I <br /> — ._._. ._ ____ . _ . .—_. —'___ _.__ _ . - . <br /> .�- < < �r.�r�•, ! <br /> _ � �/ � • . - I I <br /> .. : <br /> , . � <br /> .— . .._•-a-- . _-_ _ —____—_`—_ __. _' ._ <br /> - - ---L��l ,-_ _ __ _ _ �� � <br /> - -- ---� �- <br /> __ � I ! � <br /> --- --- _ _- . _. _ - _ --�- . . -- -- . _ _ <br /> � , <br /> -------- - --- -- - ----. <br /> _ - - . I <br /> �� ON <br /> DATE INSTAi_LEO: � j � I n OFF .�+��d TOTAL <br /> COOE �, � � L�OOR ANO f:Ol11PMlN f PENTAL _ � , I�OIJRS _R_TE � <br /> ' ,. . f.� � f�� ':1I I <br /> I '.� �i� . __ ` _ <br /> _ _ __ __ _ _ _ _ _________ .. . . . <br /> .. . _ 1. �_____ __.. <br /> l : <br /> � i �" 'p� � ( .11� f ! .�� <br /> _._ – ��1� __ . . /' -- - <br /> — - <br /> I r, j; ��• / / �' <br /> -- -. _ _ , _ _ - - - <br /> !------ - �� �`=' � � <br /> - _ _ - - _ _ - _� ---- <br /> TOTAL I <br /> � REMARKS: <br />