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wrr�. � O �� / ' ,�1PpLICATION FOR SERVICE <br />No. ��� � 2 � <br />�Sz �YY OF EVF�R�E/TT WATEIR DEP7. <br />QFIXED J D�� �� !-N/ �1 C� �1 <br />�EPOBIT. s S „ I C'��.�.G(� � .� . <br />�-F 1�....:/r-./-Y�, : �.�•v r/r.rf �,(. ����/ <br />/<34 /Uo�7e�> � >.f , �.. n-,-. ,. i bi �ufs r-�.-�i �! <br />SERVIC! (�Y wDoeu�I ._BLK. L <br />OWNEI�.w ��•�L�' frT� �1��'��M�UfL>CONTRACTOR <br />?LY FOR TNE USF OF WATER IN ACCJNDANCE WITH THE I' <br />11ND POLICIES OF THE WATER D[PARTMENT NOW E%ISTING <br />MAY BE NEREAFfER CHANGED. eicN�o: X��.J: <br />MAT[RIAL1 I� IN. I i IN. I 2 IN. <br />PIPE <br />CORPORATICN <br />CURB COGK OT <br />SERVICE SOX <br />MHTER VALVE <br />_M[TER No. S _�' <br />M6'fER BOX [GOI <br />_�.ATE INST4LLED: <br />,;oos � <br />I <br />I <br />—j— — <br />� <br />REMARKS: <br />OPPER GALV. - STEEL <br />PLABTIC - C I <br />TYPE: ��{/ � <br />!HT 9MA LARGE <br />in.�- /�.�n <br />� ON <br />�'7/ dOFF <br />/ <br />L�BOR ANO EOUIPMEN f RENTAL <br />�o -z � - �i ) N <br />r �� <br />�r 6 cY <br />9ERVICEN° 1569 <br />ORDER <br />DATE1 D _L_18��_ <br />W. O. <br />PRiCE <br />.60 <br />SU� TOTAL <br />HOURS � RAT[ <br />TOTAL II�Z <br />3 <br />05 <br />