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APPL. II 74 ^ 9 <br />NO. <br />I� FIXED <br />I-] DEPOSITS <br />BERVICE N2 1323 <br />ORDER <br />DATE - <br />AT iG" Q <br />NO G. —_ <br />SERVICE IRr woonroel__._ _-•�-vS_ _ _LOT ADD. <br />OWNER-__ t _CONTRACTOR <br />i-" _ FLAT - - <br />INSTAI.L�'i_--_METERED SERVICE__ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING / - / �J OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X_ yJ.Clij //L�GL.CI�a` <br />MATERIALS <br />--- - 'A IN. I IN. E IN. I I PRICE AMOUNT <br />CO <br />PIPE PPER -. GALV. -. STEEL <br />CORPORATION <br />SERVICE BOX PLA <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />- APPLICATION FOR SERVICE <br />CIT/YY01F,I:VERE=R DEPT. <br />CI <br />TYPE: <br />SMALL LARGE <br />[( ON - <br />DATE INSTALLED: ) OFF �JO <br />- ! / SLID TOTAL /1 <br />I LL, <br />un Amu EQUIPMENT RENTAL _HOURS <br />RATE <br />IIII- <br />-3�.t �/ i TOTAL II "N <br />REMARKS; O - <br />