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i <br /> APPL. pZ sO �.7 SERVICE <br /> No. CITY OF WATER <br /> �'; ORDER NO. 4 G? T <br /> APPLICATION FOR WATER SERVICE <br /> `� FIXED <br /> rW.O. <br /> (] DEPOSIT s C� D No. <br /> SERVICE IeY AODRtSSI Or---_ k'± dG9LK.- LOTEL7__ABO:'^ <br /> 'WNER-._-� �� CONTRACTOR <br /> INSTALL_��IC—METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE 1 <br /> ORDINANCES SAMAND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> ASSAM <br /> OR E MAY O HEREAFTER CHANGED. t1oNtD: X <br /> MATERIALS IG IN.I 1 IN.I t IN. I PRICE AMOUNT <br /> PIPE COPPER ••GALV.--STEEL <br /> CORPORATION _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •- C 1 I <br /> METER VALVE <br /> METER No. TYPE: K — <br /> METER BOX CONCRETE SMALL LARGE <br /> _ I — <br /> ON <br /> DATE INSTALLED: 1 I I I-� OFF SUB TOTAL — <br /> COOK L LAOOR ANDEOUIPMENf RENTAL NOUP4 RATE <br /> TOTAL <br /> REMARKS: <br /> I <br />