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APPL�� �.%� � �� r, r, r...-.-,�--- SERVICE <br /> No. �l..:�.. � �, �•. t.ITY F cvcnct i ifl <br /> U:fucF ��, <br /> .-APPIIC.ATION r=0fi 4ViAiEft SERb'IC�- <br /> Q--FIXEO DATE.���/. `._�.., _18 ��� <br /> � � (.. U <br /> � DEPOSIT s_7 I�J� W. O. <br /> - N o._-__--_—'--'— <br /> _-__' {�c��',T 1 - Zc! -'� <br /> SF.RVICE (BV AODPE88) `'���- ���1�-'�LL T _ BLK.. .LOT_—_ADD._- -- <br /> OWNER-r,_.-„\��? -,T - L�U��Z_1�_---CONTRACTOR—__--- _- _ <br /> '� FLAT ..-. <br /> INSTALL� AtETERED SERVIGE�_-____ ___ ___. _________ . . ._ <br /> I HERE6Y APPLY FOR THE USE OF WATER IN ACCORDA',CE WITH THE � <br /> OR�INANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING l <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcNeo: X . ���L��f��,��� �`'�"__ <br /> 1 <br /> MATERI>LS i �%� IN.I f IN. I 2 IN. I PqICE � AMOUNT <br /> n ` I � <br /> PIPE�i ;,-y ,�_ COPPER--GALV.-- STEEL I_ I�V I I _ <br /> CORPORATION ����';�� � ;' I I � <br /> i <br /> i <br /> CURB COCK OT , � � <br /> SERViCE BOX _ PLASTIC_- C I . I � <br /> METER VALVE u/ ' ' . r7 � �� ' <br /> _�1 r _ �.1'. d - l ! ' � -- — --- - - --- --- -- <br /> METER No � � . ��� TYPE 'L:: � I _�{, .�� _ �I�. . <br /> ,' / i n <br /> METER BOX CONCRET r � SMALL: LARGE I <br /> ' —_ . ___ ___ <br /> /�. � <br /> -- �., ;' �,,.a?.� i'� . �- --- '/ — � ��-- '--- — <br /> -1=�, '` - -�—'--- -- <br /> ����_ , �. � r�:- , , �� —�--�-- -- — <br /> �� 9 ,t /�_'�—..� <br /> - -__ -- - -1-��--�- �, -__ --- <br /> - � I . i ,-►- - - - - <br /> ��'ON <br /> DATE INSTALLED: J_, _"'_ ','`;y I n OFF SUB TOTAL <br /> � <br /> CUOC LABOR ANO ECUIPMENfRCNTAL HOURS RATE <br /> � / � .. .. . ... . . <br /> � . <br /> -- --- p-` ,L�=�', �. ;; <br /> -- _-- ---- ---- -- -- <br />—._ — _--- -_ - ',;_,-_e�..i�_,��_'�� �_— --- -- <br /> --- z � .� 1 li,1L,�'D A/ �-� -- - <br /> ' - — -- <br /> -,+-��— �— <br /> � � �' � , / I c. <br /> - t- �- -7 ---y--�. , -�-- <br /> - - <br /> � . _ �= � , <br /> -- - ----- — ---. - -------j^ � I'--- <br /> , . . , <br /> _ _ __ - ---- -- - - _ _ _ - - --— <br /> -- - ----- ---------- ---- <br /> �'.'�;.; �."` <br /> ' TOTAL I <br /> REhtARKS: . , . . � . _ <br /> __. _ -,_� , � • __ i <br />