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APPL2,Z �C 76 <br />NO. <br />FIXED <br />Lj Od <br />DEPOSIT <br />SERVICE (BY <br />CITY E ',j '11 <br />') <br />APPLICATION FOROR WATER S SERVICE ER ER\RCE ORDER NO. L <br />W.O. <br />NO. <br />..,,�//J 9 <br />/S"-" '/^1^OT�AU4Y.� <br />INSTALL Z —METERED SERVICE z <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: X`'� <br />MATERIALS <br />IN.MI IN. <br />I IN. S (N. <br />I <br />PRICE <br />AMOUNT <br />PIPE M <br />COPPER -- GALV. -- STEEL <br />CRN tY <br />CUURBB COCK OT <br />SERVICE BOX <br />I <br />METER VALVE <br />METER No. TYPE: I 51 <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED:�; <br />yq ON <br />OFF SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENT RENTAL <br />RATE <br />HOURS <br />J <br />TOTAL <br />REMARKS: /` <br />