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1 . . _ � . �. .� . - .. <br /> I. <br /> il <br /> i' <br /> I <br /> 9 SERVICE <br /> NOP` � l� Ci=(Y �JF 'tVERETT OR�ER NO. <br /> APPLICAT ON FOR VJATEN SERVICE DATE���-=Z=—i9=i- <br /> �FI%ECi OU W. O. _ <br /> /n No.-___-_ _ <br /> � DEPOSIT s L.�.�L_. ll,'C.l:-.�i-��7"bAJ <br /> p-JL/C- W T� 1-�✓G-S� . BLK.. LOT���_ADD._..NIp�YC1�Z __ <br /> SERVICE (BY AODFE68)------ <br /> �`f�.Ill.L-[��L%� -CONTRACTOR.---------- --- ---_ <br /> ��. '"l�.S .--_ <br /> OWNER�-� <br /> 7> �• FLAT - -- - �- <br /> -_ <br /> INSTALL_ - RED SERVICE----- -- � <br /> 1 <br /> I HEREBY APPL FOR THE USE OF WATEN IN ACCORDPNCE WI7H T __ <br /> OROINANCES AND POLICIES OF THE WATER DEFAR7'MENT NOW EXISTING g��HEo: �- _'_" _ /. <br /> OR �.S SAME MAY BE HEREAFTER CHANGEO. pp��E � wMaur+r <br /> MACERIALS -� I � IN. 1 IN. � 2 IN. I �� <br /> I I I� I <br /> P�PE COPPER-� GhLV._.S7EEL__ , <br /> �__�_-�- � <br /> _ -- I � _ � � -- - � <br /> CORPORP.TION -_ __-_- �, <br /> CURB COCK �T __ ------ II , - � _, <br /> __'�1 <br /> SERVICE BOX PLASTIC -• C � ___ <br /> -_ � I .__- _-.__- <br /> �J__'-_-_' I__"_ <br /> METER VALVE -- --- I I <br /> _ _-_-.__ <br /> . __.___-_ ..._ I <br /> TYPE: .-"__- ;. . ._.. -- , <br /> METER No. � -------� . <br /> _ '_ __�-_' <br /> - <br /> SMALL LARGE � -- . -- <br /> METER BOX _ CONCRF:TE _____.__-- --i- j � '� <br /> - i.__-'___ <br /> _ _ __ _--. - _-___�- I : �':.-_ --- <br /> - - �I _y-- i-- -" <br /> _ -___ —I_ _�-I_- ' <br /> . I i � __ <br /> ---------- �--- — <br /> ------------._ ----- - � � � � — <br /> �_— — —i �ori <br /> p SUB TOTAL <br /> /,r 70 f� OFf <br /> DATE INSTALLED: �_ Houas NATE <br /> -��� LAElOR ANDlOIIIPMENf PENTAL � <br /> GODE � -� I <br /> �� ._ --= ��'--�_—.----- -- <br /> -- - --� <br /> __ - �g��„ �„v.ro ,v —__ - - <br /> i ------ �.2�i ��— - <br /> -� --- ���� (--�-i:---- __ � --- --- <br /> -��- -- ---- -� --- <br /> , -- <br /> --- --- <br /> _---- , <br /> _� _ -- ---� <br /> -- - <br /> --- <br /> --- <br /> -- ---- , <br /> � <br /> I TOTAL � <br /> _ ,- , '� - �_) � /� -_-ti-_ <br /> \, <br /> :-i , __ '.__-..-_. <br /> 1 : .-'. _ _ '___.-_ <br /> REMARKS: ? i i) l _'___i: : : ���/ - -_-_-:_ _.._ . __ . _ -� - . <br /> -_-_- ___..�-�--'---.___-_-- <br />