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<br />�� �;ERVI':E ' }...�
<br /> APPL. � /„� �� CITY OF CVERc-1- '��c'"" ri� 5 s e » :��,
<br /> No. l(/ 7 �� ��
<br /> APPLICAT�ON FOk W/����F� "RVIC[' on7E�}I�.��-3-13��-
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<br /> � FI::ED v/.C, __ 'i
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<br /> � DEPOSIT f _ :!'��:I
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<br /> uERViCE (BY AD9RE88)--� � 'wl
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<br /> x �1 INSTALL._-� METERED RVICE ----
<br /> I �� iIEFEBY APPLY FOR THE �SE OF WA7ER iN ACCORDANCC W�TH THE
<br /> �r.I�INANCES AND POLICIES OF THE WATER UEPARTMENT NOW EY.ISTING i�i�HEo: h - - --_ --- �
<br />�� ' .�d AS SAME KAY BE NEREAFTER CHANGED. � e r�i�E � AMOUNT ��
<br /> . . - MPTERIALS I 1G IN. 1 IN�� 2 IN. _ �
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<br /> COPPER--�ALV.--STEEL --- � -� - " il
<br />�' . � ^IPE RAl'ION _ _�--I�______ .— __-. i .
<br /> CORPO , I I �"
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<br /> - '.iERVICE B�X___ PLASTIG -- C � __ �— _..
<br />� ' ;dETER VAW�7 -- � --I� i .'�
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<br />"��7,,.�� R9ETER No. .ZN117 __ . TYPE: _ -'_ _- I _ -_— — '
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<br /> �-�� METER BOX CONCRETE SMALL LARGE _ .
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<br /> AS _ T _
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<br />`; `�p*.. � ON , I I,`i
<br /> �� �:� �. SUO 70.P.L
<br />��'a DnTE INSTAILED: 11 �Z7,�'7 ❑ �F� �,- �y5
<br /> tEc ���§ � —'� I _1 LABOiI AND EG�IIPMENI HL•JTAL I MOUflS I AnTE �µ,qJ
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<br /> I ���—� TOTAL
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<br /> � REMARKS: ..—___—__—__ _— _—_--.—_- __'
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