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r <br /> .^+" <br /> k�: <br /> '.:,.fl.::' � � <br /> t� d}� <br /> � �'4 <br /> Q � <br /> ,1�N <br /> y H <br /> tt C� <br /> H �f <br /> �H � <br /> fp H <br /> x <br /> �� d <br /> o� <br /> ��g <br /> zH� No. c�')�� � CITYOF Fl�(qf,TlNr (o/g z SZnE'RE 1�- 6455 <br /> APPL. 1�' <br /> �y APPLICATION FOFi ATER SERVICE <br /> JATE__—��-18� <br /> ��1-] � FIXED �� <br /> H �� DEPOSIT Y l�� No�_.---'----- <br /> �C]5bC� � <br /> y� SER'VICE lsr wooRuq� — _ ����—BLK._ LOT AUO. — <br /> y 0 � �_ _ , COASTAL PACIFIC DEV. �,�__� OS�TIER <br /> OWNE �� CONTRACTOR <br /> _ ' r� t, y,r--�--� l[: ��_ ;�l <br /> INSTALLS� [METER SERVIC �- � 1 -- � --— <br /> I HENEBY APPLY FOP1P OF WATER IY. "f�NDA:/C! WITH THE � r s „ p , <br /> OHUINANLES AND POUCIES OF THE WATER D4PAPTMENT NOW E%ISTING � yr'�.' ' <br /> PR AS SAME M�Y BE HEREAFTEA CNLnaGJ. 81GNED: X .._ �'J7Yu"'�"__l��=�'��� ___--_ I <br /> MATE0.1AL6 �i IN. 1 IN.� 2 �N I _ P�i�C� AMOUNT �� <br /> - ' _—� _— I <br /> PIPE COPPER--GALV.--STEEL _ <br /> . CORPORATION ___ __ _._J _. iI <br /> � CURB COCK OT � I - ' <br /> � `_' SERVICE BOX NOPOC�aRN•• c i I _ �_ _ � <br /> I ' <br /> METFN ';ALVEWIB UC td�lC�^ Oi�1 Sd.'rYICE ___ _-.-- -- <br /> METER No. �}UOn]�WiII104Yy�}`E: — I 5S — --�-- - -- — � <br /> l '��..' ��rPr�ventron-CorsQiTrtion-----��--- ---- — ---- -- — � <br /> , ��_ METER BtlX COf�fFRET�� �� SMALL LARGE _ _____� __ <br /> �. _ __I ��_ _ _ _ <br /> ! �� I <br /> —_-- __I ��— __ _._ — <br /> I � I <br /> . i`+► . J I � ON <br /> DATE INSTALLED: (�- OFF SU9 TOTAL <br /> �_ COOE I LAOOR AND EOUIPMENfRENTAL HOURS FATE <br /> ti� �I / __ <br /> �► �� I <br /> I - <br /> II !r''�t I — — -- -- I-- -- <br /> � —� --- --- �— — — <br /> � <br /> � — <br /> TOTAL <br /> REMARICS: n � � � ,7���7 _ _ _ ��, <br /> ��Y�_ � <br /> i <br />