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AYPL� -��'� � SLRVICG <br />No. - -�� � r.��:� "71= i_"c'HE iVi ,,,r:c�.r, i'J0. <br />.^�PPI IC,Ai�lr�r, (�R �`./�.T: N :�1_R`.�Ii:C <br />�= ,/ <br />FIXED DATE .. '_-'____19 '-1 <br />� . <br />L DEPOSIT S_.s. .4�_ . __ NpO. — <br />��j'� �y '�f !'� � r. <br />SERVICE �oY�DQqEe6)—,L.1 �_� j,����,y-�^ y��BLK.___LOT_.,�U p�%G'7��->(��v <br />///y�-s- / �-� <br />OWNF_R_ y �_� � ��:�2. � ' �{ (, L!- /-L -/ CONTRACTOR_ ��Y��!/ <br />_ " �FLA� _'-_. _— _-_'-- <br />INSTALL�.7�,L� METERED SERVICE _.___ ._ .. _... _ jjj ._ __ <br />I HEREBY APPCY FL�f 7HE USE OF WATER IN ACCORDANCE WITH THE \'�, - /;'� (.1 ��/ <br />OR�INANCES AND POLICIES uF THE WATER DEPARTMENT NOW E%ISTING � � <br />OR AS SAFiE MAY �E 'r1EFfAF'TER CHANGED. s�cHeo. X.�L%«-��-t.y.,i�. .. __L�w�___ <br />' M�TERIALS �h IN. I 1 IN. I 2 IN. I I PRICE AMOU�iT <br />PIPE __ COPPER-_GALV_�-STEEL __�_L_ �__I_i I��_� <br />L__._ <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I � � <br />METER VALVE <br />IdETER No. TYPE � 'n <br />METER BO% CONCRETE SMALL LARGE <br />DATF.. INSTPLLED: <br />conv: <br />-. __ - - -- ---- <br />, I � ON <br />r. � OFF <br />LABOR ANO EOUIr MFNf RENTAL <br />�--�- �-- � <br />-� �_-� <br />-�-- -�_ i <br />; - -, <br />SUB TOTAL <br />'� MOl1R5 RATE <br />� .. 1 % <br />._ <.__ . • .I .. _-.. -- <br />1;�(,�i�7� <br />—_,���—� l � — <br />c� <br />-- — I-- --- -- <br />TOTAL <br />