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APP�.` �� � � . A�P��LICATION FOR SERVICE seavice�° 1122 <br /> fYo. <br /> /?�<'%•f CITY OF �a/EBETT WATEIL 'JEPT. oaoER�� <br /> � FIXED /, �-- Lf !) , "�fj // <br /> �. �. ' . _! �� DATE-�L `� `�L <br /> -j /1 / � -�<.� ' ��.i. / ' �:+__ _19 <br /> � DEPOSIT s�I(' �.-�L'/�, ' - - �� <br /> i <br /> __—'�;� . <br /> ! � NoO. <br /> SERVICE �er woonese� ` ��r-c=� � �.G-1 � (�...y� <br /> — .—OLK. LOT nDD.__ <br /> f'OWNER_ CONTRqCTOR <br /> I.�r,e�,t! ,:; ��_ ✓" r � � � ��/" <br /> INSTAL� " IG'FEFEpSERVICE�'1, ���-�''-� 1� � .�I �.:G[+ /, + - <br /> -7"� -��Ic_<,� !L. .��ti� �C�C.L,4,•v <br /> 1 HEREBY APPLY FOd THE USE UF WATER IN ACE6RDANCE WITH THE ' ---�— <br /> ORDINANCES AND POLICIES OF THE WATER DEPARiMENT NOW EXISTING J / ��' <br /> OR AS SAME MA1' BE HEREAFTER CHANGED. /��� � -�� <br /> BI6NED: X__Y-�L�'_�e�.(�, .��l; �J <br /> _ MATERIA�_g � i , <br /> ii IN.� I IN. I 2 I�I� pPiCE <br /> p�pE nMouNr <br /> COPPER- GALV.•-STEEL � � I ,�tr II` �� <br /> CORPORATION — - � <br /> CU4B COCK pT I� <br /> SERVICE BOX PLASTIC -- C I I --7'I <br /> Ii I <br /> METER VAWE _.- ( —� - —I — .�II.___I�/ __. <br /> . r -�..--. � �� <br /> METER No.',���7h`Jp // -� TYPE: � ----- -- � <br /> 9f ; <br /> ME7ER BOX CONCRETE SMALL LARGE I <br /> . � _--- -- — I— 4-� <br /> — _�C� � `. i (•. II / '// <br /> I I .7. <br /> ___ I � ��I <br /> I__ <br /> I I — <br /> I � I I —� <br /> DATE INS('ALLED: � = ��_ -�„ � ��� � [� ON \ <br /> . � � �.OFF �'"; ; �� SUB TOTAL � <br /> CODE � ! . LABOR.\ND EOUIP:dENi R[NTAL ��C <br /> I '_�" I� HOnRs RATE <br /> � � 7 � <br /> I � __ <br /> ��' � � " c � � � � ' I . <br /> i �.! i <br /> , I I! ; <br /> i - I -II �_ <br /> -_I - ---- j- - _� - <br /> _ � -- -------- ------- i-- -�� � <br /> . � . Ol'A�I �J�/1 <br /> REMARICS: � �' <br /> . � . . � . . r1 /'� � ' � . <br /> / : , __'_ _____. _ l'' � ` .t-` �� <br /> /-`-'i . . . _ _'___.__..___.-_ _ - <br /> , <br /> �... , <br /> ' _—___-` . ' ' ..._"�_ �_L ___ .'__. . . . �. i . " ',r" t <br /> _ �-..�'__ '_. <br /> ". __'__:__.-._'__. --:_-_ <br /> '—'_---�-•— <br />