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g` FIXED � <br />1 � <br />� DEPO5IT �_ <br />CI�` �rr• EVEHETT <br />APPLICATIO�J FOR WATER SERVICE <br />SERVICE � ' � <br />OROER/� N/O. ' �' <br />DATFv. Aw �`S__ .18� <br />W. O. <br />No.-- — <br />�� l � ����J/I <br />8 LK._ ___—LOT���E*�����0=��% <br />�v �<C' � <br />]TOR _ —_. __—_—_—_' <br />F <br />INSTAL ETEFED SERVICE--�L_ -- — -- ----- —� <br />`_ �._ < <br />I HEIEBY A LY FOfl THE USE OF WATER IN ACCONDANCE WITH THE /% � <br />JROIMNCE$ �ND POLIQES OF THE WATER DEPARTMENT NOW E%ISTING �_ !/��1j�i�...�� <br />OR A'i SAME M�Y BE HEREAFTER CHANGED. eir.HEo: X��* �� Z/'� ------ <br />MMERIAL6 '�ri IN.I 1 IN. � 2 IN. I ' I ' PflICE I AMO��NT <br />PIPE _�OPPER..� GALV_ STEEI. _ <br />CORPORATION ____ _ <br />CURB COCK OT <br />SERVICE BOX PLAS7IC �- G I <br />METER VALVE <br />METER No. J%•�L_e�� —`__. " TYPE:C/+q���I(-. �._�i <br />�M€T O Y CONCRETE L�,LAJTl1 {MAL _ LnRGE <br />�� -���.�� -��ry_s4P��c:_ <br />_ `g�_z��,/'�-�; ,13�d� - ---- <br />_ ��J�r•T� x ,�-�-L- c_T -- <br />DA7E INS7ALLED: <br />CODE <br />� fM ON <br />e�i <br />.. � 7 I _ � OFF <br />LABOP AND EOIIIP'dENf flENTAL <br />--�_C��i -_ _ _ ! <br />u <br />SUB T07AL <br />HOUR9 ' RATE <br />I --. �����fU_vl]L.-__� `F <br />--� --� - �f r3-`r�---I ` <br />-, ____,�"�.s��/�-- -�� --i� <br />--- --- — - ------� ' �'=---', ' - <br />� -- --- --- -- — <br />TOTAL <br />REh1ARK5: ,- � ' ' <br />. r_—J— _. — _' �_ :'ic•� _ <br />v <br />� <br />