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APPL.% SERVICE <br />No, ". APPLICATION OFOR WATER SERVICE ORDER N� 6 ^ <br />FIXED ' . DATE__.-L _19.� <br />'` <br />DEPOSIT s 400�� No. _ __ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X --_— _-- <br />MATERIALS <br />PIPE `. sro co"&;;L /�1nA__._ «I <br />CORPORATION JALIN) <br />CURB COCK i <br />'GIN. <br />IIN.i 21N. <br />_ <br />PRICE <br />AMOUNT <br />SERVICE BOX PLASTIC •• C I <br />_ <br />METER VALVE <br />METER No. TYPE: I <br />METER BOX -.Amo" "L-T_FI A Y LARGE <br />^i <br />__ <br />_ <br />4 <br />0 i L/s�/� <br />DATE INSTALLED: /— ' - - pza <br />CCAN��D <br />J <br />I <br />N <br />OFF SUB TOTAL <br />CODE LABOR EOUIPMENf RENTAL HOURS <br />RATE <br />Imo_ <br />TOTAL <br />REMARKS: <br />