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� � 9ta2. <br /> NO'�" �•�y(� ��' APPLICA'fION FOR SERVIC{i aeRwceN� is�� <br /> . � <br /> CfT'Y G� E1'�RE7T WATER DEF7. URDER <br /> � Fl%[D DATE_�_--�� __i B-�-= <br /> �rOeIT s W.O. <br /> V9. <br /> 8ERVICEUYADDIIFJ/) �G��� //�Ti�tb/=�- _BLK.__L.OT ADD. '—_u— <br /> OWNER `S/�✓C - [�v/j�T�f ___ CGN7RACTOR_�A�TC� <br /> /�/i �_ � ' _—.—__ <br /> INSTALL�MET[RED OLRVIC� __ <br /> 1 HEREAY APPLY FOR T/1E Uf[ OF WATER IN ALCJRDANCE WITH THE � - <br /> OR�INAXCES AND POLICIES OF THE N�ATER DEP�NTMEN7 NOW E%ISTING / ��� <br /> OR AS SAYE MAY BE X[REAFTER CH�NGED. e1cN[n: X.S.L`���_�:.c�? �j�_ <br /> MAT[RIAIJ V� IN. 1 IN. I 3 IN. I � PqICE AMOUNT <br /> PIPE COrPER- � � <br /> G/,i V.-gTEEL <br /> CORPORATION -- � <br /> CURS CC�CK OT � — I -- --- <br /> SERVICE �OX PLABTIC -• C 1 I <br /> METER VALVE � -- —' <br /> M[TER NoST /��5I/���YPH: d� QC• � L' <br /> - _ _z- o <br /> MICTER BOX CONCR[TE SMALL LARGE <br /> f'.�CT�-5.9K �''��� //od`L —L - — — � <br /> �- Ca�_ L1' D. /3�— I � �� ,� <br /> / t��l �J - ,— -- —- <br /> �„/� .-�� � /5 _ v7./2_ .337 e{� <br /> �r �L:t2-L.�ll<�— <br /> 6 , x�1, , °1�,�J�l���'�c �I / � �� <br /> b /� X�.11� :IICJ � _I I -Q'� /� g <br /> � ON <br /> DATE INSTALLED: �«-,�,f9 �y=��-�� I � OFF SUB TOTAL ' - /Q <br /> / <br /> COpE � LABOq ANDEOUIPMENtPENTAL HOURS RATE <br /> 6"-�� . ��G ' 1� �''-/_7880_ 3/�x3�a 11_Xr���,��- > ��� o ' <br /> ��b .�� � ia,s <br /> � °G '/< < —6'��Ro ��'�o�- -7:�rt.��v�-�.���—, -- -- <br /> ,� 'r1�ccu�'3' s,..��_�___�—�</6,� .-'�`F <br /> ��� �,-�C(�2L,�� �CQ�I'�c� '���/0'�/1 rl� rl(�1.G��.y -'��` ��.53 - - -- -- <br /> b '.�rct.��t'�� > S�z_' _ � �, _ '� Tsb - — - -- <br /> � �'-�.�� �. - �—� - - <br /> d-- - --. ___ <br /> , _ . ._. --- --- -— -- -- -- <br /> --— - ----- - - �— - <br /> --- - (/ � - ---- . ..-- -- _ - - _ <br /> --- -- - ---- --_---- - --- - --- - -- I — — — - <br /> — - /� / / -�— <br /> —�-T�/ L � Y� TOTAL <br /> REMARKS: � / � / ' �� <br /> ----- -�- -� -�- �---� /- .. <br /> � � �,a.._L . <br /> - . __.. _. __ . . --�--- --- <br /> � ����� J�,�=!/". � l �.: �' i C t-: <br />