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A` � / � � e . �_ V SERVICE �1 <br /> 6r 1�.. �' ,_nL , T ORDER O. <br /> N` '�.�_. ,;;ON FOR �VATER SERVICE �i 7Q� <br /> i <br /> �-����%%.�"�_ `� /_ -_14�� <br /> � FIXED ��d DA�.St• -..J -� �-• - <br /> � / <br /> /� /' W. O. <br /> � DEPO5IT s .(�7�.__-_' No.-_.--'-' -_ ' r-- <br /> ` � /� /� // ,i'y ' <br /> � �,'`�-a� �� <br /> J �O "��' � 1+Y( ('�`�'� C'G'� . BLK.. LOT I� ._ADD,/�� . / <br /> SERVICE �er�oorsessi-!� �//��--�----/�--- ,��p "�u� <br /> ___ <br /> OWNER-`����:b � "L�, �� �-t)t� .__ -CONTRACTOR_ __-- . _..-- -- _ __ <br /> _ - - _ <br /> ��� �FLAT�i <br /> RD NANC� _ RED SERVICE ----'- - --' '�-'---�"-- <br /> � ___ . __._.._ - __ <br /> I HEREBY APPL fOR THE USE OF WA7EF IN ACCORDAHCE WITN THE <br /> ES AND POLICIES JF THE Y'ATER �EPARTMENT NOW E%ISTING gi�N[o: X /�����----�-�--� - -- <br /> '•�:7 AS SAHE MAY BE HEREAFTER CHANGEU. _ <br /> MATERIALS Yi IN.' f IN. �, 2 I II PRICE � AMOUNT <br /> p�pg COPPER -- GALV. -- STEEL I I --- <br /> - I- �--.__�-.. _.-__. <br /> _-____.. .. __-___-_--_ ___- I <br /> _ .'-I_ -__ -I.__--� <br /> CORPORATION � ��-- --- - -' <br /> -'___-__-__'_ I <br /> CURB COCK OT __� I <br /> - �i_____ -_ --__.___.. <br /> _ -'__' -"_____ '__ -_'__'__ I <br /> SERVICE BOX PLASTIC - C I �__ - - <br /> _ -_._- -_.-_-_-.__. --. : <br /> METER VAWE . _--__._.._...__.__.-I___- - __-. _.-_��__� __ __.__-- -___- <br /> _---.____ <br /> . ___ . __ _ _ ._ <br /> MLTER ND. TYPE: , '�_ �i J_ _"-.-- --- <br /> .' -_-' --I __ <br /> _'-_ _'__._. _ . .--'___ . __. .__ . I <br /> METER BOX CONGRETE SMALL LARGE I I__ __ _ _ . ___ <br /> . . __'___. _ . --'_'... _-__-_ <br /> - - - I i <br /> ____-"_ - I i-.__' -_- <br /> _ _ __-_ <br /> __-_-_"__' <br /> �-_--. _'._ __' I <br /> I <br /> - ---- � II � �____ _.-_- - <br /> I .____'_� .I!___._ __. _ __ _.- .- <br /> _-_ -- <br /> .-__. ____-_._____ . , , <br /> -___ I._._-I <br /> i _ 'I <br /> _ _ ___--__- _ _- - I____ .. �- _ _-_ _ __- <br /> ,AN <br /> /� I LI I n SU6 TOTAL <br /> DATE INSTALLED: J c��� 7 OFF <br /> CD�E ' <br /> LA�OR AND EOUIPMFNfR6NTAL HOUFSI RATE <br /> I �, Gcc.co—�--�-- ---- --- <br /> � — _ _ — — � <br /> ___ _-- - <br /> — _ __ " <br /> --- - - - _ __ - � �`�� -'- - --- ---- <br /> ; - � > i � -- - <br /> - -- - - - - <br /> __ �G�3 __C�1 i -- -- <br /> - -- - - -- <br /> - ---- - <br /> -- - ---- ------ --- _ <br /> --_ _i�--___ -- ---- <br /> --_ -__ - <br /> TOTAL <br /> REMARKS: _. .._ _ . . . . _ - . - _ .___ <br />