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I <br /> APPL BERVIC[ ' <br /> NO. APPLICATION OFOR WATER ORDER N° �6196��Qp <br /> ❑ FIXED DATE-- <br /> 0 <br /> ATE - <br /> DEPOSIT Y1 O. <br /> ~ o� X36 suD <br /> SERVIC[�Ir1Be11pBI � BLK..__LOT�ADD <br /> OWNER .LC�4" ly�d.L=�rJ�S CONTRACTOR <br /> I /ILJG• 1 —_ <br /> INSTALL ETt D BERVIC <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. WISHED.x <br /> MATERIALS Y IN.I I IN.•R IN. 1 PRICE AMOUNT <br /> PIPE COPPER..GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BO% PLASTIC - C I <br /> METER VALVE <br /> METER No. 7931 P s /cYTP_ E: (j4 qer I/f <br /> i METER BOX CONCRETE SMALL LARGE <br /> ON <br /> DATE INSTALLED: ��'/ �(J / I OFF SUT TOTAL <br /> y CODE LABOR AND EQUIPMENT RENTAL NOURE HATE <br /> I <br /> TOTAL <br /> REMARKS: <br />