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� � � <br /> A� x APPL. ,�,7 S ;' 7 .' CITY OF [VEREiT '� •"�` `No 3 � � � <br /> No. CRGCR <br /> � y �, arrucarioh i ��i� canreN ser;vic� <br /> H ".f. � FiXEO (`� DATE . .I ' •r _IBY-- <br /> y �� � �� :"`- � /yO��J W.a. -- ---- <br /> fG O DEPOSIT s S.__�"_ O NO..- _ <br /> Ox0 -� / <br /> � H � �/G �4- .c.�f. c� �cct� / <w�sa-.c.�Gci....r <br /> V1H SERVICE Ier�oo�Eu)—��- �- 2-C _bLK. ___-LOT__lu--AOD1` _.__ <br /> Hx � � /%' <br /> [n O t+1 OWNER�%���_'-'J .�-C tG.z-�__. _ _'CONTRAGTOR __-" "._ ___. .-_'__ ___ __ <br /> H l7 ���� FLAT . . . <br /> O H INSTALL�.J-_C._-METF.RED SERVICE_' _ . . . . -_ - '_.-__-_. _ ._.._-.' _ _ ' . . __ <br /> � �� g --- <br /> H L�1 I HEPEBY APPLY FOR TNE USE OF WATER IN ACCOR�ANCE WITH THE ���J <br /> (.]e (] ONDIN�NCES AND POLICIES Of TME W�fER DEPARTMlNT NOW E%ISTIN. � /L�'�� .�^� � �� <br /> H G OR AS S�ME MAY DE NEREGFIER CH�NGLD Blcn[o: %�- f <br /> ZH3. 1 <br /> � y H - �� . I � rnitc � �«ounr <br /> y T MMCPI�lS .. . -IN. I IH. 31N. I .. . ' — <br /> �,r-y, H I-3 PIPE COPPER�-GALV.��STEEL I _ <br /> OC� CORPORATION ._— "_ -' ___ . _ - '__. . _ . _-i=—_t___-._-_I._.__ -_ . .� . . _ _ _ <br /> � �ty CURB COGK OT i—' I i <br /> _ .. _. . _._.. . <br /> y O y SERVICE BOX PLASTIC -- C 1 I � <br /> - .___. .. _ .. . _ . . . . "-I__ ' __ �' . _ <br /> � METER VAWE I I � ', - --- <br /> ����• . METER No._.._ . LD� TVPE��yNP � r[ i_�--'___' _ _ _ <br /> I � � � <br /> METER 80X CONC9ETE SMALL LANGf _ _I_ _ <br /> _ —� —L—_ I! _.__ _ <br /> �,�� — --- — — --- — �—� —� �— t� <br /> �� --�-� I 1 -- <br /> ------ i I <br /> I__ - - _- - ----- -_ _ i -�----� -�--I -- - -- - 1 <br /> - � <br /> � ---- -- -- --- - <br /> � ON <br /> O/�TE INSTALLED: I �� OFF SVB TOTAL <br /> ! COOE � LABOR �NOEOUIPMENfP[NT�L i MOURS R�T[ <br /> 1� ' //l zG /sL — -- --- ---- I — — - — <br /> — ------- —� - — -- <br /> — _ _ — _ - --- - -- — — — <br /> �I-1 -�-- <br /> - -- � q � - - _ - - <br /> T� P��TiPlG ,� _- � � I- - - <br /> --- _ r�o ncriov� -- - <br /> ---- - <br /> — -- ---- — - - - <br /> ���. VJIII bo tapcn on servlr��— - -- -- - -- <br /> — -- — — - -- <br /> ��� --- �� --�-- - -� uppllcalions �vithq�t �I <br /> . — � � �x�. .. ) <br /> TOTAL <br /> REMARKS: �dl / <br /> - -- - - -r�- 7 -7----- - <br />