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No. lip <br />FIXED <br />DEPOSITS <br />SERVICE (BY ADDREMI <br />CITY OF <br />APPLICATION Fi <br />SI <br />INSTALL— T--,* ERED SERVICE_ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDAN:E WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT LOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />DATE— 6&,pL?,�tL[tB <br />O. <br />Loil,cl, <br />o4 Sp /ao,l S <br />SIGNED: X <br />MATERIALS <br />PIPE T <br />CORCOC ON <br />RAON <br />'/� IN. <br />�I <br />1 1N. 2 IN. <br />I_���IIII-- <br />I <br />PRICE <br />AMOUNT <br />- <br />CURBBCOCK OT _��I •-��-�1� <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. ------ TYPE: <br />--{_ <br />__ <br />I K <br />---_--- <br />-- <br />METER BOX'eortcn �'T'L'j �r" ML. LARGE <br />^d <br />_U.�]J IT' f7CJ�U <br />— <br />— <br />i A'E INSTALLED: Og -Z 9 -88 <br />ON <br />nFF SUB TOTAL <br />LABOR ANC ECJIPMENT <br />RENTAL'�y�.���'0p1'' HOURS <br />RATE <br />kAALA <br />- - ------- -------------- <br />I <br />TOTAL <br />R MARKS: <br />j <br />