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� � � <br /> ay <br /> �ozx -, � , ,, � ,:, . N 81 1 3 <br /> � y� NaP�. . .5� - . CIIY OF GVERETI� o <br /> � or�o[H <br /> x APPLICATION FOH IVATFfi SLH\'ICt <br /> 1-37� H � FIXED ' DATE-�—� —.._lo �-= <br /> O CC O DEPOSIT s ) � �` Tn nn/'Ti�t(� ...— �} I�D�I W.O. <br /> ❑ 1�.-_- --=�'" NO.—__— - __ _ <br /> �aH � � . <br /> U1 H J <br /> HxL� SERVICEIeY�oe[sn—� Y/'f L�J-Gc�•-���-��LL_--BLK.._LOT�'_ADD.�-'�s4G�.� �1.:-¢ <br /> � � /��/� <br /> � y d OWNER—.{..t•--��27__L�'7S"��___—_--. _' -_CONTRACTOR --_—--_—.— _ __ <br /> O H 1/ FLAT <br /> �NSTALL��y— � ETERED SERVICFY- _ <br /> H � g - - - -- - <br /> 4]� O 1 MEPEBY APFLY FOH THE USE OF W�TER IN �CCOHD�NCE WITH TNE /J �cY�_ <br /> N OFOIH�NCES �ND POLICIES Oi THE WATEN �EPANTMENT NOW ExISTING ( i���rS � <br /> Z N� OF AS S�ME MAY OE HENEAfTEP CHANGED eicNco: % �1" . - � <br /> y Z' MhTEPI/.L6 � ti IN. 1 IN. , 2 'N. I PRICE � AMOl1NT <br /> HH ------.. . . �.. . . _ .. _ _ �.. - . . . , . <br /> C7 N PIPE _ _ COPPER-� GAW STEEL I � I __ ___ <br /> O H <br /> nCy d y CORPORATION ' � � <br /> Iij �r CURO COCK OT _ _ __ _.-___�_ -___ _ -__ _� .._ -_ <br /> zym _ _ — �-� I _ <br /> 1-3 Q U] SERVICE 80% PLASTIC �� C I _� _ <br /> _ _. . -. - _.._. _. , , —•_i _ _ <br /> I//� � � METER�VALVE ) ' I I <br /> IC�� METERNo. ��'� TYPE:A/1��Nt' � _ ._ ._._ _.___ . <br /> � �v <br /> METER 80X CONCRETE SMALL LARGE I _ <br /> _- _'__ . —I '_iI_ _-_ _ <br /> '==' __ __ - - ._—__ ____ .. . . ,I-J__I--- . - .- - _ . _ <br /> -- =1--�-� --�-- -- - - <br /> - _ _- -, -,- --- - - --- <br /> ; �__� -- -_ -- � �_ -- - <br /> .,_ -� -- ---, <br /> n oN <br /> '__ DATEINSTALLED: I f, OFF SUB TOTAL <br /> 7'�1 COOC ' LAOOR ANO EOUIPMEN! RENTAL I NOUP4 P4TE <br /> � .�.�3 0�- __ - _ . _ .--"_—_—__--I—._— — _ <br /> _ __ -_ <br /> ____—_ . —_ <br /> — __'_ '— <br /> _ __ <br /> e� ' . . . _ __ _ _. '_ <br /> - -- TO POSTING �� -a�-gz --- ------- - -- <br /> , <br /> I ,-�� - - - --- -- -- - _ _ <br /> �,.� —_ _— — - _. -- ��� -NO-AGTION----I ---- - - — <br /> \ , • -- <br /> — � <br /> TOTAL <br /> REMARKS: '_____ _��ZI� . . �1C��IPR'VCTi:�0A1Co1(1$HIi•:�On _ _" ____ . '_ <br />