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APPL. ���'� � <br /> No^ • APpLICIi.T,IUN �OR SERVICE SERVICE N° $ � 5 <br /> • -�: / +' ? ClTY OF EWERETI" WATER aEPT. oRoeR <br /> �,� FIXED . - ) + _- � <br /> � �'� : DATH__''=l . <br /> CI �EPOSIT 5 < - -----1A�_ <br /> ,--_ ..���) i <br /> / / . W.O. <br /> ���/f / 7 J� No. <br /> SLRVICE <BYAUORE651 `�`�!-.'(� /; `\�2) L�T-;�.� �_.�_,_fl ��J"�,.,`\� ��� ,/ � � . <br /> � <br /> O�NNER f — OLk.� LOT7'-`�--A�D/C1'L'.�'f.qU,��ir�✓ <br /> 7��� FLAT -----CONTRAGTO.• �. �j �-���C _i'� �,._� <br /> INSTAL��-�` MtTGR£p SERVICE__ � <br /> I HEREBY APPI,Y FOR THE USE OF WpTER IN RCCORDANCk: WITN rHE <br /> ORDINANCES AND POLICIES OF THE WA7ER OEPARTMENT NOV: [XISTIYG <br /> OR AS SAME MAY BE HEREAFTER CHANGFD. � � n <br /> slr,Neo: X_ �jL <br /> MATERIALS �N I.V.I I IN. � 2 IN. <br /> PIPE z ��--i I rnice nn�ouNr <br /> COPpER--GALV.- STEEL. .+, <br /> CORPORATION --- — �_� _� �✓ . ��� <br /> � � i I <br /> CURB COCK OT — I ___' <br /> SERVICE BOX PLASTlC - C 1 (/ �I <br /> METER VAWE ` I -- '�I Q� <br /> METER No. TYPE: I �e <br /> METER BOX CONCRETE SMALL LARGE � — � <br /> �L � � I- '- <br /> �!L�17 <br /> r�� L � i ' ��� <br /> _ _, � <br /> �-_ , <br /> ' I <br /> - -I_ I <br /> i - � <br /> I ��-� - <br /> DqTE INSTALLED: -1 / ❑ �N <br /> _ L-� ! - l� � �App (/ � <br /> � � �p� SUB TOTAL � �.7 <br /> CODE � LA90R AND EpUIP1AENf RENTAL r <br /> I �� � XOURS RATE �� <br /> � =� //�.7 - -- i-�- ! I- <br /> ' i ' -----�i ! - <br /> � , i <br /> j-- - - ----- -----� II j <br /> °� � �'-� <br /> REMARKS: "- - <br /> - _ C /. . , .�, ^ _ <br /> '� ,��� '_-- _- __-_�_--/ �f-—A <br /> �'__r _ 1/ <br /> ' -L�yitL_._ [1 �'� � '� ' � .-�' f , <br /> L �� �'� <br /> .-• i . <br /> i <br /> ----- ? � � . 1 , � ,. <br /> - - - - !- - _ , -_-- _ � <br /> ; -___ -- -- -. --=�----- <br />