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01'�'-��'�� CIIY OF LVEHEI ,FRvicE <br />�� or oer� NO. <br />.PPI IC,IiION FI)!i SVAI6R StHVICt� �� i <br />� on vY/'�''lL� // _- t s �_ <br />i F ,xeo n�� <br />-� w. o. <br />� DEPOSI7 s �j � No. _ _ _. _ . . - <br />SERVICE(eY�oDq�M�F"' �. �����6/�� ��`O.'__.OLN.__- .LOTIJ! AD4'.-/�'f'X"- "'�'' <br />�// �7/ ���__ <br />UWNER_./✓�V[/""'��� �� �'(L�.'�'-�a�E�� - CONTRACTOR _ . . ._. <br />�/ .QJ-� �\ <br />iNSTALL��-. - .METERED SERVICF. � -J � - ' -- � � - <br />I HEREBY APPLY FOR THE USE oF WATER IN ACCORDANCE WITH THF. �� � /� j <br />�`�FOINANCES ANO POLIUES OF TIIE WATEH �EPAflTMfNT NOW E%ISTING � .� �l{�� �/ � C� <br />i�R AS SAME MAY 6E NEREAfTER CNANGEO slcncD. � -� � <br />MATEBI�L6 I��N� � �N. � 3 III. _ PRICE I AMOU��I <br />_ _— I � <br />I'�PE COPPER -� GALV. -- STEEL � _ J <br />'_"._'_' '_. __ . _'_ ___.- —_ - -___ <br />_ __ _ <br />CORPORATION � _I _ _. <br />_.. <br />'_._-'__' ' ___- ' <br />_ ._.. _ __ ..._____— . <br />CURB COCN Oi . ._.__ <br />"-- _ _ <br />_' <br />tiERVICE BO% PLASTIC �� C I i I _ _ _._ __ <br />METER VALVE <br />11ETER N0. TVPE: 'r <br />!dETfR�BOX CONCRETE SMALL IARGE <br />. _—___--_ _ __—_ _'_ _ _ . . I, - � -I� <br />I <br />-J- - DN <br />DATE INSTALLED� ���� �U '�i �� OFF <br />, npE L�BOR �NO EOUIPMENf ilf.NT�1. <br />_� _ _ ���//�� <br />-, <br />--- _ <br />---- <br />17EMARKS: <br />SUB TOTAL <br />' HOUR9 RATE <br />S' ��� � �f���� -- ---- <br />�, r?�/a.,,� � '� <br />'�'-I .�— � � / i r <br />TOTAL �I <br />