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APPL. µ�-�7 APPLICATFOR SERVICE <br />NL' CITY" OF EY i T WATER DEPT. <br />'TF <br />r- <br />DEPOSIT S <br />-5�— iC �•;v�F+�-,�✓ LICK.`—oL/L—!' <br />SERVICE EY ADDRESS)__ <br />OWN <br />CONTRACTOR--- <br />E----T7-- <br />INST METERED SERVICE <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X <br />OR AS SAME MAY BE HEREAFTER CHANGED <br />MATERIALS 4i IN. I I IN. 21 <br />PIPE COPPER GALV. -- STEEL <br />CORPORATION _ _ --- <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C <br />1 <br />METER VALVE �- <br />M.C.TER No. �._iLYPE_�I 9S _ <br />METER BOX CONCRETE MAILIi LARGE — <br />DATEINSTALLED: <br />—� <br />CODE <br />❑ ON <br />Ei OFF <br />LABOR AND EOUIPMENI RENTAL <br />SERVICE 142 1 O Z 7 <br />ORDER <br />3 <br />UAT <br />W. C. <br />No <br />AM- <br />PRICE QI AMOUNT <br />33 <br />SUB TOTAL <br />7I <br />NRS <br />RA__TE <br />— <br />— <br />TOTAL <br />REMARKS:J`'�----- <br />