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< <br /> I <br /> SERVICE `�� '�t�- � <br /> APP��//9.� / G E.EVEflETT ORDER NO. -� ���� ���' <br /> ITY O. � <br /> No. qPPLICF+TION FOR WATER SERVICE pqrE�a�J�—19� <br /> 1_ <br /> � FIXED � W�' — <br /> No. <br /> � DEPOSI7 g e2 3 5 _ <br /> �, l/D 3f0 ' BLK L07 AD . <br /> .j(J / <br /> SERVICE lOY A nEes).,� --- <br /> CONTRACTO <br /> OWNE _ ---� <br /> /( F <br /> INSTAL� �_��--�cMETERED SERVICE —�- <br /> � <br /> I HEREBY APPLY FOR THE 75E OF WATER IN ACCOROANCE WITH T e GHEo:X-- -- <br /> ORDINANCES AND POLICIES OF THE WATEP OEPARTMENT NOW E%ISTING paic <br /> OR A� SAME MAY BE HEREAFTER CHANGED. I� N � �N � 2—N �� <br /> p:/.IERIPLS ,. ', - I <br /> - � I <br /> COPPER-GALV.•-STEEL -i'� <br /> IPE ,Q �C r � _ - <br /> CORPJRATION ''{ IJ n� --- i I� <br /> CUFte COGK OT I <br /> SF.RVICE BOX PLASTIC •- C� � — - �_ <br /> 'dETER VALVE �� UG�� ___ -- 1 <br /> METER No. S 7O'/ �rQ'S S TYPE:�PiYS� I 4S Y � — _ <br /> —� �- <br /> !.S_ SMALL LARGE �_�I <br /> _�---- � <br /> METER 90X CONCRETE tsc �L <br /> - ���50� 3 - � I - <br /> 31 Z3 I — <br /> _---� I - <br /> --�I i I <br /> I �N SlJB TOTAL <br /> /Q � / .� Q I � OFF —�� . <br /> pATE INSTALLFD: b � NOUfiS RATE _ <br /> L�BOR AND EOUIPMENf PENTAI �I <br /> COOE I � <br /> �� I }/�y (� <br /> —__I ——— �_/.�.(�_� <br /> I ����� --- <br /> —j — � --�—�#373 I Z " — <br /> - � --�----�i b„ <br /> �---- - , „ <br /> i _J-- --_ � <br /> J ------- ..---- �!I � e <br /> I _� TOTAL _ il <br /> '_L1L! '/ �—� I <br /> REMARKS . I <br /> ����— . <br /> � <br /> � <br />