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2]V �D Z .,�pp�«pTION FOR SERVI^E sEavicE�d ����) <br />No L �F-CSC� � ORDER <br />C6 il"�f (?F EVEREIT VdAT�R D�N7. /'� <br />. DATE�/�__1 B_Z1 <br />Q pIXE� <br />� �OEPOBIT y l �.� NoO. - --- <br />' r��, N; «$ <br />8ERVICE �ev�ooncea) �� �✓ �Q� r�rm��FF'�L�AY �LK. LOTL�ADD..17.�_���3 <br />OWNER�� �ARSO/�+' CONTRACTOR_Ii�'S�y,�^ 5', -�/VC. _ <br />ii � <br />INSTAL�—METERED SERYIC <br />I HEREBY APYLY 1"+� THF USE OF WATER IH AGCOPDANCE WITH THE ,f���J i� ��y/ <br />ORDINANCES AND P�UCIES OF THE WATER 9EPAHTMENT NOW E%ISTING aicneo: X.! `_� �� "d��� ?"= ��-- <br />OR AS SA'AE MAY BE HEfiEAFfER CHANG..D. <br />MATHRIAL/ 3'i IN. f IN. � 2 IN. � PftICE Aw:GUNT <br />p�nt �COPPER } GALV. •• STEEL _�>_�_I__� <br />C:ORPORATION <br />CURB COCK OT <br />�ERVICE BOX <br />MET�.=1t YALVE <br />METtR No.� <br />METER BOX �o' <br />CR <br />DATEINSTALLED: %_ <br />REMARKS: <br />PLASTIG •- C 1 <br />r � <br />LARGE <br />I � ON <br />.� � I � OFF <br />� <br />LABOR qNDEOUIPMEN'fRENTAL <br />C/7 <br />SUB TOTAL <br />HOUPS � RATE <br />� �� <br />TOTAL <br />/3 <br />35 <br />:� <br />