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rrP� �� "�^ <br />..:.. �r� ',�i � � CI-Y v�'cVEnETT ORU6RE NO. <br />� A?PL�CATION FOR WATER SEkVICE <br />�' ��- <br />O FIXED _ :�ATE ` � ____i9._._ <br />E� <br />� DEPOSIT s r�"(� �. � f,> !,• - ,� W.O. <br />� _.. /`j !i'' .�, � No.----. _ <br />7 <br />�'//D =� �%��--5 '�-- - � d'� !%��zc��} <br />SERVICE (BvwoDREne1 BLK._ LOT�lAD �. Q <br />/ / � '�T __ <br />OWNER��r( `ii� t!!'.-� 1'> l� r--1 � — . <br />G'--.�— �C_7i- CONTRACTOR + <br />/ FLA�T� <br />INSTAL�[[��ETERED SERVICE__— __— _ _ _ .__._ _ _ <br />I HEREBY APPLY�FOR THE USE OF WATER IN ACCORDANCc WITH TH� "/� (�? �,/� <br />OROINANCES ANn pO�ICIES OF 7HE WATEH UEPARTMEN7 NC•W EXIS711VG � /�� /_ <br />OR AS SAMF. MA: BE IIEFEAFTER CHANGED. sicNe�: X�,.-�L�..�a- ___-+_��[/� (r��-='�`L.__ _ <br />� MATFPIiL3 �G IN. 1 IN. � 2 �N' I_-! I PRICE AMOUNT <br />PIPE COPPfR -- GALV. -- STEEL ��I I I I I I�� <br />CORPORATION <br />CUR6 COCK <br />SERVICE BOX <br />METER VALVE <br />MCTER No. <br />METER BOX <br />07 <br />PLASTIC -- G 1 <br />_ _ ___.. .. —_ - ._—___... . ._._ _ <br />TYPF_: �w <br />— .—_._._ __ .—_ _ _ . .__ _ <br />CONCRETE SMALL LARGE <br />�ON <br />DATE INSTALLEO: �/�. �S� j��- OFF <br />/ J <br />CODE 'i LABOR AN� CQUIP!;C:� � RENTAL <br />-- ---- --- ;--• ,��: I <br />. . . .. i.+.T I L i <br />SU6 '/JTAL <br />HOUflS � RATE <br />fiEMARKS: <br />__._..__ ___. _. __-______. _ . _. _ _ . __ . __ ..__ _ ._. . _ . ._ __ _..._ _. . .. `__ __. <br />� . _ .___— '_ <br />