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Hn� <br />A�x <br />C H <br />9Hxti <br />HZ� <br />�C n <br />H� <br />� H � <br />NH <br />Mn� <br />HC <br />�� <br />��8 <br />t+ y Z <br />HH <br />ay <br />��y <br />�H� <br />HOfn <br />� <br />�Q ��N� IO�:'���11 3ERVICE <br />APPL. �] /_ 7 Ci� CITY O V i � � �RDER p� <br />No. L' lY �y ° 5 6� <br />APPUCATION FOR WATER SERVICE �" .}. �` <br />�ATE___.YCQ / � . 18Q_� <br />� FIXED <br />� � No�_—.'_ _ __ "'..— "__ <br />� DEPOSIT f �� __ � !�L_/ _�� <br />SERVICE IeveoonuU--J..I Z Z___.U-.L:-V-C�(��1�.�.C1/�._ __'BLK.'---'-_LOT.�--ADD.------- <br />7� � — ------ <br />OWNER_�^��___�G11_�QI�r'_. -_. __ _—CONTRACTOR'_ __-___'_'__. . <br />JFLA _ '_'.__-_ -..__ _ n -. __' _ . ._ _- __ <br />INSTALL RED SERVICE--- - - / / - <br />I HENEBY APPLY FOR THE USE OF WATkR IN ACCORD�NCE WITH THE �C / � <br />ORDINANCES ANO FOLICIES OF THE WAfEN DEPAflTMCNT NJW EXISTING / _ .._____._ <br />OR AS S�ME MAY 6E :1FRl1FTER CHAHGED. <br />9ICN[o: % - ---- <br />w IN. 1 IN. I. i � PRICE i .�MI ouNT <br />MhTEPIALB �I -���T <br />E �}�� ccrrne-'-"rnv-sr�� — �D _ - -- --�--- I— _ -- ��r- --1 — <br />PIP-. ___._-- -__—'___ - T I <br />_ CORPORATION _ _. _ ___ _ _ _ _.__ ---- / —, <br />CURB COCK � _ ------- —i <br />SERVICE BOX __ PlASTIC -• CI___ <br />METER VALVE . .. _ ... I - - � --'- � <br />._...___ _ _ <br />METER No. TYPE' _ . . � . <br />_____ _ <br />METER BO% f:3'rorzr��S%I��_� LARGE I <br />II ___ <br />__ <br />4'TL ___ _- -- -I / � I <br />l <br />OATEINSTALLED: <br />�� <br />cooc ; <br />_--- ___ �_-I <br />� ___ '_. .. �ON � <br />� O[�_ i./�7 I r] OFF <br />/ ZS / <br />L�OOH AND EOUIPMENfRENTAL <br />RE�tARKS: <br />I- I I- I-- <br />- -- -- <br />L�).-�(�L`� - ' <br />�._ _/1�7F�PlNT[TS.�_- - <br />a /�`j__ _ _ <br />�� Os _ _ <br />���� _ <br />� So� _ <br />SU6 TOTAL <br />� Houas nr,rc <br />_. 4/. � . �"_ _ --_ <br />' g _ __ <br />' ttS _ , - <br />I TOTAL <br />