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� � <br /> i <br /> , NaP`' .JrQ���> C�TV OF [VcRETT oAoea� N° � 3 B i <br /> AYPLIC4TION PCN WATER SEHVICE <br /> �TO PDSTIWG_ i�-s-ps ��/?��' w''o_�a-v�%�-- <br /> �rixco <br /> � oerenr s /LJ� -- No.— — - - -- , <br /> OEftVICE/�r�ooe[���2G�__�L� ��. " ---BLK.-_-_LOT_-ADD.--_ .__ .- �� <br /> OYVNER_��l /��/�"= CONTRACTOR- -___-- -- _ .__.. . _. <br /> � ��/ kt��� i <br /> INSTAI " �METEREO ERVICE-_ - --. __.- - ,^ -- - --- - <br /> I NEREBY �FPLY FOF E OF WATFN IN ICCONU�HCE WITH THE ) ,! <br /> 011DIHAHCFS ANO POLICIES Of TNE WAiFR DEfAHTMEHT rvOW FIIISTIHf ��/�/�/ � <br /> oF AS S�wE �fAY BE MEREAiTEN CNA4:ED •�'•�+�o:% .W 'G . . <br /> M�TF^� L' IN.I 1 IN.�3 1 .� I`f1�CE � AMUIIMi <br /> pI1+E -- CCPPCR��GRLV.��STEEL I � ' ' <br /> __-_-_ --____"__-_-{I- ._.. . " _ _ _.._ .. <br /> CGRPORATION �I <br /> CtlAO COGA OT �_-_ -_. .-_._- i _-il_ _ - "_'-i- _ ._ <br /> - .- --__- _-___ _�-_ . ._ __ "' - ____. <br /> SER'+ICE BOX PLASTIC �� C I _ I _ I �. I <br /> 7 - -- � w6 '' I --- - ---- <br /> _METERYALYE ,-_ _� -_ -.. _ __'_ <br /> ME'ER No. /�9 7 _ TTP� � �. . , _ <br /> I <br /> METEH BOX CONCXETE GMALL LARGE � � I <br /> II_-___'.' - "_'_ _ <br /> - _-_. . " _" �I _:-'_"�"-_ -' <br /> _- _ _ I - _ _ <br /> "__ _ _-__- -__ ___ - <br /> _- .--.-. � _ __ .--I_-�1 _I- !I-__I-__-._� _ �" _�.- _ <br /> � .TE INSTAV_E�:O4 JOi/ SJ � I � O�F <br /> SUB TOTAL <br /> 5 7-/ <br /> ������ LAOOPANOCOVIVMENfNCNT1l IIOIlP4 X�tC <br /> —_II ___ __ _ _ ___ __ . ..—_._. __ __ <br /> i I <br /> _____ _ . __ _. . . . _ __ .___ _ __.. <br /> _ ___. ___ _ .. ..____ _ ____�_ACTI�N _ _. _ . . <br /> ; WIII -i- <br /> aPWwiTiIX6 WRh�in � TOTAL <br /> � antmn�for.s�itu���;a <br /> ftEM�NKS: <br /> __ ----_ _ _ _-_ . . __._ . -_ _ . -� <br /> ---�'��iL �(� 3-!'995� — <br /> - ---- _,����r�� <br />