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2oa �2 . . <br /> A���, �-�_� ��•7 Z APPL!rATION i0R SERVICE seaviccNn 1�I �� <br /> No. .� ORDER <br /> CITY OF fiVBRETT WISTER DEPT. /' / <br /> FlXEG � L��' ^Y�. , S : r r-�y..'.^�-�.�.-�LC�A'DATE�=�_-1o7L <br /> �" J W.O. <br /> � OEM/IT i� � � �p [) (t ( ' NO __'-__ <br /> �'1�� C''.�l'..' C Y' �� <br /> (' <br /> BtIIVICH (w AODeun 3����U��c"�S/✓U�n--BLK.._—LOT-_-ADD.— --- <br /> OWNER_LVS �IL--�-f C_�i ���=y _____CONTRACTOR_--_-.-_- --- <br /> ' FLAT <br /> INBTAL � � �"-�M�C SERVICE.-- ___- _-.___- - _. � . -.--__.___ <br /> 1 HEREBY �PPLY FOR THE OSL �i WATER IN ACCORDANCE WITH THE ��� l�) /7 <br /> ONDIN�NCES AN� POLICIES OF THE WATER D[PAPTMENT NOW ERISTING ��aN[o:X / � ��V ,� ������"`- - <br /> GR �5 S�ME N11. BE H[RE�FTER CN�NGED. - --� - <br /> NAT[111AL� K IN.I 1 IN. ! IN. PPICE •MOUNT <br /> PIPE _ OPPER� OA�\'... STEFL__ ,j. I ____ _ . __ ___ . <br /> �__. __ -_-_ '. <br /> CORPORATION �_, <br /> CURB COCK J' _-_ _ _-_ -_ -- <br /> __ __-_ _____ _---__—_' '_ -_-I -__ _ _ _ . _. _-__ ___ <br /> SERVICE �JX �- C � ___ _I - - --- --- --' <br /> MfTER VALVQ . _ __ _ - . -. - -. - - - - <br /> —_._-_-__ . _.__.—__ .. __ <br /> M[TER No. _ ____ TYP[_____- �I.. K _--- -- -_ _-__ _. _ _ - _ _ __ _ <br /> M[T[R !Uw CONCR[T[ _ 6MALL LARG! _ _ __ __ . __ ______ _ <br /> -. . _ __ _ _- -__.._ ___ _ <br /> -- - —. — ._ �ct�-��L'('�_�i`U'—l—� --� — — - - - --- — <br /> I <br /> -- --- ___ ---- I <br /> -- — — — -- -- - --- <br /> — ---— — -- _ _ I <br /> - — ---- - — -- _ __ _ <br /> - -- -- .._ _ _ _- - -- -- <br /> � , oN <br /> � <br /> D�TE INSTALLED: L� _ / � , / i , ��OFF�f�����;_ i SUB TOTAL <br /> COOf � LABOR AN�EOUIPMEHf RENT�L IIOUflB P�TE <br /> ., 3 -- <br /> --- Lc>wu'._� --- - - - - -------. _ . ._ . .. _ -- -- <br /> __ I <br /> ---------- -- - _I_ _- - - <br /> , . <br /> : <br /> _.��i!.4�.�- ___- _ ' ._ . _' _' <br /> _... _ . '____'_'_—'_'__ - I <br /> . ._______' __ _" ' _ __-_'____— - -. _. <br /> _ ... _'�_ � •�.� . - _ � _ _ ' _'_ _ <br /> . ...__- ' _. . . __-. . . .. _'_-_— ' <br /> _ . �; _ :�. _ . '.-- <br /> ___._'�''L�r- . . _ . _. ._ ._ . . __ ... _ . . _. _ _ <br /> '' � I <br /> � TOTAL <br /> � �� !. <br /> REMARHS�. ,� �7 � ,- � . ) (' t ��l C'�E�_ � r' . - ___. <br /> . � [�`r �) • `S - � G ; I . •- > , ���, �' l.i� ;.. <br /> --/ ` _ -! �<c � -��.-� _—: _— <br /> , �� ,...�. <br />