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APPL. . ' �/J j�M[ �7 ' S APPLICATIUN FOR SEl;VICE SERVICE N° 6 Z � <br /> Nc. � � cJ �.% v ORDER <br /> p C{TY OF E�/�:RETY WATER DEPT. ��l �— � <br /> I�c�`rQ DAT . �L'LC i <br /> � FIXED � <br /> �( DEPOSIT S �D. � Lac) �u' � n�� No�— _ <br /> �/`J' /� /��/i� <br /> SERVICE (q�O��s�'-^�� `�+ �i .�� 4 _BL ���T LLADD.�. <br /> JWNER`T . '� --CONTR� <br /> � � <br /> INSTAL� � _METERED SERVICE—.—_ �— <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE //� <br /> OFDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING -/ � C GC-�"� ` � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcNEo: :y_ _. _ <br /> MA�[RIALS ii IN. 1 IN. I �IN. I PRICE AMOUINT <br /> PIPE COPPER•• GALV.—STEEL <br /> i <br /> CORPORATION jI I <br /> CURB COCK OT I I� I <br /> SERVICE BOX PLASTIC •- C I I I I <br /> METER VAWE — � <br /> METER No.�IC�'^�� '�lS�f��:X,7TYPE: �rI..YC� I >f — �SU —> —__.._ /f/ �— <br /> _— �C�� <br /> METER BOX CONCRETE SMALL LARGE <br /> r-.- sxsxs cc>>c.c,�c.�s� Ir�79 _—_�— -- - I� ��- <br /> r-r-�;x�xi� CV" � i,— 6" <br /> a :,�:�,:;: S' t-• ",:.:;:T I � � <br /> � . ., _ S•/17; � — 133'.� <br /> ;'1�t 4.te:c,5�) <br /> r �K 'N` [. .1 � zG ./���CV �588�0 _� _ _ �p�J�2_ <br /> �i' �i _ J��.f((1:.�!C�( T-e;�i-Ct �/ z�� C� �.�i �� �0 ��� <br /> . / <br /> �/ �/�i,/�i%/' . k/ //-;.���� �i.�l(t���� � I I I `-��l.J ✓`J <br /> DATE INSTALLED: �7'N�L� I � OFF SUB TOTAL �i�'�7:_.��I(j�j <br /> CODE I L�BOR AND EQUIPMENT RENT:,L I HOURS PATE <br /> �' ---- -I---- --al- <br /> -- i 'I <br /> I� — I ---� -i-- <br /> I � �' � <br /> --�- --- --- ----- � �', � <br /> - --- ------ ------ � -, j- - -IU- <br /> �3 TOl'AL IV-,:��:�G. <br /> REF1ARiC5: <br /> /J n ---- _— ._—' —_— — ' ' <br /> �'L __�/�- - _.__ _ __ . '..__. _ —__ _ ' _ _____—______ __ "_ ___. <br />