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SGhVICE <br /> No'L��29 APPLICAT?ON�FOR WERER ERVICE OROER N� /��Q B <br /> �F'IXED i <br /> � /�UO� OM'E�CCL�-�/-�0— <br /> � oEro.,T . C�' TQ POSTlP�� 3-2�-9�; �°----- / <br /> 6EIIVICE UY AOD�[��) �_-.(�i�/-=�--4'�� BLK..__--_LO��AUD/��Cd�G�LW-/�/E� <br /> CONTRAGTOR_ <br /> OWN[� - �-�- — <br /> IN6TALL�/� F�ER VICE—_ -- -- --__-_--- -_ '_-- <br /> I XERESY �►PLY FOR TNE I15E OF W�TER IN ACCORD�NCE WI7H THE <br /> ORDIN�NCES ANU POLICIES OF THE WATER DEP�RTMENT NOW E%ISTING ��cr+co: - - -- - ---- <br /> ON AS S�ME M�Y BE HEREAFTEN CHANGED -"—--'---�-��--- <br /> M4TERIALi Y� IN 1 IH�, 2 IN ( PR� MOONT <br /> I I ��_ _ <br /> P�pE COPPER••GAW.•-STEEL___ __ <br /> CORPORA710N ---- � ---'-- ---"J �-- <br /> CURS COCK OT _-- —� 1 I 1I — <br /> PLASTIC -- C I I �I'— ---J- - --� <br /> SEFVICE BO% __- <br /> METER VAWE -. �-�-- --- - -"-- -- -- <br /> —_ _- - <br /> /1 q - ����TVPE (/ '--- <br /> r� '�" { �_ _ _'_ i <br /> METERNo. Lv �/ _ . .��._-__ -___ - —.—_'-'-i _ _--_ __ <br /> � I <br /> METER BOX CONCRETE SMA�L LARGE _ i_ _ _ _ _.__ — <br /> ---- � I � -- <br /> -_- ��-----,- -- <br /> --i-- -� - -- - <br /> --I � -�- --- -- <br /> _ -__ _ �-_��_-�;�__ -- -- <br /> - � � � ; <br /> /� � y I � OFF SUB TOTAL <br /> DATE INSTALLED:/ �� <br /> LA�OR �ND EOUIPMENf PENTAL I H�UR6 RATE <br /> COO[ � I <br /> i . __–_ — __—___-I _ <br /> �� I <br /> _� - -- -------- -��C��T�--'-- -- — <br /> _ ------- --- ------ � <br /> i -- ---�AfiU.De-taken ^-�,ra.-------- <br /> — aPPlicafior,s �wt'^ : I <br /> _� �atkflow Pre��'ctior� , _ ; -,-� — - <br /> — I TOTAL <br /> REMApK3: _--- -- "- <br />