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SERVICE�V� � � � <br /> Y � � ��� APPLICATWN FOR SERVIC` ORDER <br /> APP`. �ITY OF tWERE7T WATER .�EPT. onr�a�`-`�5-I-19r� - <br /> Nc / C� S r � ----- <br /> N/.O. <br /> Tdi FIXED �� No.----- <br /> Va <br /> n DEPOSIT �_I S�_-- . .1 ADD.--�—"-- <br /> U : TA I�I<A LIC.---LOT_._- <br /> Tl � 1 �pl_l�_5 �� - <br /> J1'�'��.0��—C��---- <br /> SERVICE �ev nooacss���-----�-`r� __CONTRACTOR-�U� <br /> OWNER--i=�=_�._`_U:� - �-� - _.--__-_ / ____- <br /> �i �:�pcn. --- -� �� � ,-���� �- <br /> WSTAL��METEftE� SERVICE_-- - � - �__ <br /> OF WATER IN ACCOROANCE WITH THE ��'� <br /> I H:-REBY APPU' FOR THE USE SIGNED: I ��p�p�,1T <br /> ORDI`7ANCE5 AND POLICIES OF THE W�TER DEPAATMENT NOW EXISTIN rR1`E <br /> SAME MAY eE HEREAFTER CHANGED. r� ��� � 1�`N.� = �N• I'�"I�`- �$z .� <br /> OR RS I I �o����� <br /> maccni��-s <br /> �-�—--'�— - U,—�'tS_� <br /> � GAW.•-STEEL _ � I <br /> COPPER- F � . <br /> PIPE --- I <br /> CORPORATIO=��� �I I ��II I ___ <br /> ��- -�- I li - <br /> ���a �o��< �T 5�g� <br /> '-.-�— pLASTIC -• C � I —_ -.- <br /> SERVICE BOX _ � __ _---- JII O/�J'J_�. <br /> � _f____ -- ( r-Q�'Sl// <br /> ME7ER VAWE _.-_---- TYP ,J�� �Y __ _- ____ ��SD <br /> ��- � OO�S Z�J� -q_I. <br /> ME7ER No.�� y� ' 1 0 __ -- �I� / '�C/ <br /> CONCRETE __��L Lt•���'�--- ' I O <br /> IdETER BOX � <br /> L I � <br /> �-i �?��i __-- I __ �I <br /> _�I -- I � <br /> ',_ ---t= � �_ <br /> _ , , �� <br /> ------ /�7 �f/ <br /> I � ON SUB TOTAL �� <br /> C� OFF RATE <br /> //�?.O ��� I HOURS I � <br /> ppTE INSTALI-ED: J I + <br /> ���� LABOR ANO GOUIPMENT RENThL <br /> CODE I G 1 ` ` �� � �/ ����_��� � � <br /> I 5� 37 <br /> G �e�-----� Z .�_�c"_ <br /> SK� rc I ��L------'_�_ �� �'-`�-- <br /> i —_���_� �� � II_ L t p <br /> __i_� k c„.. .: --i r — — —�, ', `-- <br /> _ _�—__---�—_---- _�_ ---- -- I <br /> � i ��� — —--,— �-___— 1 ---- i � li, ���4��g� <br /> --I —�- '._--- �' ' I li A-�'�� TOTAL Ii��� ``7_I1�L_•� <br /> __.- _� �1 -' <br /> I �j <br /> �- � ___ J <br /> �� / �' <br /> ------__ _ _ / <br /> RE�IARI:S: ____'__-----'� / . <br /> ..__'_ _ _.'_'-_----- _. _ .. . <br />