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APPL. ( // �- 5LNVICL <br /> No. 7 Jy�J ) ACITYTIO OF RAT E S ORDER N° 7 8 6 1 <br /> APPLICATION FOR WATER SERVICE <br /> p 3�' ��Y7;S— <br /> eIXED di 0 DATE <br /> DEPOSIT , =1n', PQTINE, N0j• <br /> SERVICE (BY ADDRnq__11�i'�,l/�-(d!/�-�.— n .SLK.. IOT�SLAD /� <br /> OWNER �{� �z5� X76 O-'� CONTRACTOR_ <br /> INSTALFLAT <br /> L=( RVIGE — _ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE xuw <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNE-- ( qL v/,`(�{J'/ <br /> MATERIALS IN.I 1IN.. � 2IN. PRICE AMO4NT <br /> PIPE COPPER••GALV.•_STEEL___ <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC • C I I <br /> METER VALVE <br /> METER No. /Lx_-. TYPE4 _41r i - _-- _-- _ <br /> METER BOX CONCRETE SMALL LARGE <br /> FV <br /> i <br /> ON <br /> DATE IN.TALLED: -C. 3 f1 OFF SUR TOTAL <br /> CODE LABOR AND EGUIPMENI RENTAL HOURS RATE <br /> — NO ACTION I -- -- — <br /> WM be taken o <br /> aPPNcations wittmut a <br /> —. BOck"OV7WIDWentlon consulta gon <br /> TOTAL <br /> REMARKS: _ _- <br />