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APPL. �//O APPLICATION FOR SERVICE SFRVIGE �� � 4 � <br /> No. OR <br /> ��7o Cj'�'Y OF E�TT WATER DEPT. t ^.>/I {�/ <br /> FIXED ��,LP� � DA 7 "`"� /_19� <br /> � DEPOSIT g�P e/p!J , —_�n O. <br /> -�f-' //�` /] No.-- <br /> SERVICEcar�oocess�_ ��(�_ """"«-w '�`'L��gLIC.__LOT_.. eDD. <br /> �J/d�WNER_ __________CONTRACTOR_ _____ __ <br /> ,U�NOl,II �.��/ '� FLAT <br /> 'M'KFAb6 —T➢1CIfiqTeB-SERVICE_ --.__ <br /> I HEPEdY APPLY FOR THE USE OF WATEfl IN AfCOhDANCE WITH THE ///1 o <br /> ORriNANCES AND POLICIES OF THE WATER DEP/�RTMENT NO\V EXISTING N� <br /> O"i AS SAME MAY BE HEREAFTER CHANGED. SlcNeo:XJ`--' _ �"�"'����r�_�' <br /> Atl,TCRIALS )i IN.� � IN. � 2 IN. � I PRICI: AMOUNT <br /> PIPE _ COPPER•• GALV.-STEEL_ I j� I I ��I�� <br /> CORPORATION <br /> CURB COCK OT I —��I � <br /> SERVICE DOX _ LASTIC - C I I I I �U` <br /> METER V,\LVE � <br /> ME7ER No. ___ TYP[: I ;S _ _ __ I I _ <br /> _ I _� <br /> METER BOX CONCRETE SMALL LARGE <br /> � T�;T � �-- ��7� <br /> -, <br /> _ �. � �, � � <br /> - � ��' �� J�A n c �`��. � r I _ I I �K/7 <br /> '> � � O � J '^� . , � S �� <br /> � � <br /> � <br /> --- � �; � � i � <br /> C9�ON ' <br /> OAT[ INSTALLED: / _ J � / -7 � OFF SUB 70TAL I //S� <br /> (� L ! <br /> COOE I LABUR AND EOUIPIAEtvT RENThL � HOURS RAiE <br /> --- � r �., . _ � �Z —�� ( � <br /> �=-� -� .� e �.._ l� ii i— <br /> ,, I I ' <br /> ' �2_`-t'S2— ( `� 2 � , 1 C � �z . � � ��— ---I' -, �.� <br /> ' � ii i <br /> — � ---I , - <br /> —I= ---- ----- - - — ----- -- -- li''I I� <br /> � . __ _—__--- . --____ TOTAL II �J� <br /> REMARY.S: <br /> -_—__ / .S <br />