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�_� ��[1.� s;�avice <br />APP{ � Cll'r UF cVERETT ORDER Nn. <br />NO� �:PPLiCnTION POH WATER SEPVir'.F . . - �� <br />DAT��'-,�.r / ' � �9 <br />� FIXED r, W � <br />� t� l -_ <br />L DEPO5IT q_ 7 J.J__' No._------ — <br />7 ���/?��3 �/�. � / � <br />/�,�3 / __BLN.. ✓�� LOT'—_-A�qt� rr.1��i-Ef._ . <br />SERVICE ler �Doaces�-�/— /'� -�� ��— <br />,$)� `.. ?J� C ___�____—_—CONTRACTOR ' -- —.__'__--- . <br />OWNER_� L- '- U ��� � <br />� �FLAT <br />INSTALL� � �METERED SERVI_ C��--- - ----- "-- /� <br />I HEFEDY �PPLY FOR '.HE USE OF W�?ER IN ACCORD�NCE W�TH THE //CL�%YJ�f{� <br />OFDIN�NCES ANO POLIGES OF TNE WAIER DEPARTMEN7 NOW EXISTING g�er�eo:V[= -/�-�� �----- - - <br />OR AS SAME MAY BE HEREAFTER CHANGED. � <br />MAtERIALS �,p <br />4i IN. I� 1 IN. . 2 �N. I . � PP� AMOUNi <br />PIPE . "f .C�-,Jf `.k� COPPER -. GALV. - STEEL d'�1__�_ __ -� - <br />_ �___—.. <br />� � _' C I __ _. __ _ / III �_. ._...—_ <br />_CORPORATION ___ _ _ �I <br />CURB COCK �T _ _ <br />SERVICE BOX PLASTIG _ _ ___ _ � — � <br />METERVALVE __%�,�`_.3 . , _- _-- / --__ I� -__ _ <br />METER No. �rLt+. e TYPE: �j 3� � ' G I_� - I — <br />__�:_�_ �- _ / -- - <br />ME1-ER BO% CONCRETE _ MAL LARGE_ I_ II ____ -- -- <br />� _ <br />r ;, � <br />r . - _ _ <br />/ / 7.�> / ------ - <br />- �<_��.��...�.Q;,�_ �✓,�r�. ��� ��� - - ! -�- - _ <br />- .'� : ^ a �i-q I , % I __ _ _ — <br />- --, ;.; _ 3 _-- - 1 I ---- - <br />. <br />- <br />. <br />_ <br />-- � <br />i i i I I i --- - <br />DATE INSTALLED: {/Gj p7-/ �S I �� OFF <br />l <br />' LA�OR ANO EOUIPMENfRENTAL <br />CDOG , <br />SUB TOTAL <br />HOURS � A�TE <br />.v � <br />- -- - -- - -. � ��-�-- _ _ - ` f_ <br />- -- <br />----- <br />u.. - <br />- l _ _ -�_�_��- <br />_ _----�y�J� - --"�-�-�----,-.��- <br />_-_. -------- <br />--- - - , <br />---�- <br />REMARKS <br />