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APPl,. � O � I I <br />No. �'` G' �� -- APPLICATfON FOR SERVICE <br />- cirr oF- E SERVICE �v� 13 3 0 <br />� FIXED VE�ETT WATER Di:PT. �RDER <br />(� DEPOSIT g � -`' <br />__�.:� �_ OATE_��-19 ��� <br />'. � ��. < W. O. <br />SERVICE (BYApDp '/ N��'—�— <br />E88)�2��� ' � <br />�_ i� � L.` <br />OWNER�"'t' -F� /i/ ^L'� -----.__BLK. LOT___ADD.��-_ <br />FLA�T �Z�-�-�--'-�- -CONTRACTOR � <br />INSTAL� - ��.� ���4 <br />� HEREBY qppLY FOR THE OSE�GE — <br />ORDINANCES AND POLICIES OF THE W�TER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />PIPE <br />�- <br />CORP� �ON <br />CURB COCK <br />—_ <br />SERVICE BOX <br />�- <br />METER VALVE <br />��_ <br />METER No. <br />-�-�_ <br />ME�ER Bp7( <br />DATEINSTALLED: <br />CODE-� <br />MATERIqL3 <br />IN ACCORDANCE WITH THE � <br />DEPARiMENi NOW E%ISiING <br />�� SICNED: Xi <br />•��.�_ � ii IN.I 1 IN. I 2 IN. <br />___ �a,urr•ER -- GqLV. - STEEL <br />OT <br />��.-- <br />_ PLASTIC -. C � <br />CONCRETE <br />TYPE: - I ,5 <br />SMALL LARGE <br />I ° °" <br />_. /' , ' � 'OFF i . <br />/ , i . <br />��DOR ANO EOUIFMENT RENTAL � <br />I.�� <br />'----�-��1�e. Yli.t. _. __ _ _ <br />/ —��_�_ <br />� � --�_ <br />-_� ' . � --------_ <br />�-------- <br />Pp��E J� •CMOUNT <br />� <br />sue rorn� <br />MOUp� <br />REIdARKS: 'i .,i"- <br />_'_—_----__ _. '1 ( r.i� i <br />� __ � : <br />� _-_-:. _� . . � . <br />_�c[' +-y_i1 ' ..' �, � �, --�'_'!.. � _ <br />_C_".J___ _�_ ____-_. <br />l'1 /' �e' � � r -__- <br />, I . <br />—__/ �i /n � ` _ - <br />���- i ��-✓ <br />TOTl� L <br />-!__- <br />._ _ -_'_. �_"__.�_'_ <br />