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SERVICE nlp C'72'� ' <br />hPPL. ���I J" qPpLICATIONOFOR WARER SCRVICE ORDER i� �� <br />1Jo. D ATE-.-�I� --18_L�;L- <br />1�I%ED W. O. <br />� r,o.-- -- — <br />� oerosiT s �a — l �jlI�0t1n i�nv�� <br />%��/-�/ � 9 . /Zl��r-IA� -BLK.'_-L0T1-�AOD.-l7-�/sC-� L_ <br />SERV{'•.E(BYADDRE88)-{-I-�^ m _ ___ <br />OWNER��Y:�"-"-� -�� -GONTRACTOR �-- --- �- <br />0 ,a // �------- — <br />INSTALL.-F 1'�--�LY�tYED 5 RVIGt- f-•�._--�-•-� �L�C� <br />I NENEBY APPLY FOR THE USE OF WATER IN ACCORDANCE W�TH TNE BI�NEU:X,'I��L <br />ORDASASAME MAY YELIHEREAFTER CHANGEDDEPARTMENT NOW E%IS71NG � <br />j6 IN. 1 IN. j 2 IN. <br />MATEflIALS <br />__- -T I <br />COPPEP •- GALV. - STEEL ___ <br />PIPE -------- I _ <br />�------_ __ _ <br />CORPORP.TION --- - � <br />I <br />CURB GOCK �T _ - i <br />PLASTIC •- C � - -- <br />SERVICE BOX __ .- <br />-_ ___ _- _-'. <br />METER VAWE .- ----- <br />--_-'_- -'- _ _'_- TYPE: I' `�'_ _ _ -- _'_._ <br />tdETEG No. _ -------�--- � <br />METER BOX CONGRETE ___,_SMALL LARGE __ _-) I <br />I ro�ON <br />W <br />�/I /� � OFF <br />DATEINSTALLED: <br />��� <br />I tRBOR AND LOUIPME� <br />COOE <br />�... _ -� - <br />pp�CE j� AMOUNT <br />_ _ _ � .. _ - __ __ _ p._.____. _— _ <br />_' ..'_ .—' <br />_'. _— — <br />��__ -_ - -- �� <br />N <br />SUB TOl'AL <br />40LR5 � RATE <br />TOTAL <br />- ,�q� j7 _ -- <br />-REMARKS: _ :l/L-/r���U r_' _ -_'__-._ '.__ <br />_'..__ " _'__- <br />