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APPL 1¢ I I �I <br />No.� / <br />�Y I'7� <br />� FIXFD ( ^ _ ,q <br />`/9_ i Gcs , <br />� DEPOSIT S �W <br />� <br />SERVICE (BY A�DPE66)� <br />•APPLICATION FOR SERVICE <br />T�� E �ERE,7'� ATEt� DEPT. <br />�Ct- si� <br />LK._—LOT. <br />�P�-u� �i �. / FLAT <br />�5{�t `f MlT�lYKG SERVICE <br />I HEREB'f APPLY FOR THE 115E OF WATER IN AGCORDANCE W�TH THE �( <br />ORDINANCES AND POLICIES OF THE WATER DFPARTMENT NOW EXISTING �t <br />OR AS SAME MRY BE HEREAF7ER CHANGED. sicHeu:X— <br />M\TEAIALS ii III. 1 IN. I 21N. <br />I_". . i:� I <br />'PIPE `COPPER -GALV.-STEEL `�1_ _ <br />CORPORATION � I <br />CURB COCK-- -O � I <br />SERVICE BOX PLASTIC -- C 1 � I <br />METER �..I.VE <br />METER No. '�"PE� I 'F <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: � �� I G, I � OFF �, � f <br />CODE I LABOR AN� EOUIPMENT RENTAL <br />�, <br />/� � �/�� <br />I �ll,�i ��� /) ` 1 � � [ / �f= ���11-f- <br />I /,�:�/��:z� L�� �� -. -s � / <br />� � '� -- - --- - <br />' --- - -- <br />I <br />REMARKS: ___ _ _______.. <br />SERVICE N� 5 9 <br />ORDER <br />DAT� � � O 19".� <br />w. O. <br />PRIC[ II AMOUNT <br />SUB TOTAL I �/ // <br />Y <br />I HOURS RAT[ <br />� G ,,.,,, I .� �� <br />I � I <br />S�� L '. 1���� �. �/ �2� <br />I I <br />�--�-- -u i� 71 oa <br />TOTAL II d �I��J <br />' _'_. . ___ — <br />C <br />