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SERVICE <br /> No. ^ CITY OF RAT E S ORDIDATI 57 <br /> No. .'J�l /�ppLICAI ION FOR WATER SERVICE N •7 <br /> DATE-- is <br /> Ei FIXED 1160. <br /> El DEPOSITS -- - <br /> SERVICE ISY ADDRE111 I ' / / / R� SLK.. LOT1L1—ADD. ' <br /> OWNER-_ W <br /> /V CONTRACTOR aa� <br /> N <br /> INSTAL ERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE 'P7L <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIaN[oI X .- V OR AS SAME MAY BE HEREAFTER CHANGED, <br /> PRICE AMOUNT <br /> MATERIAL[ 111 IN. 1 IN. A IN. I <br /> PIPE COPPER•-GALV.-STEEL -- <br /> CORPORATION —I — <br /> CURB COCK OT —I - <br /> SERVICE BOX PLASTIC •- Cl -- <br /> METER VALVE -- <br /> METER NO- TYPE: — <br /> METER BOX CONCRETE SMALL LARGE <br /> OQ <br /> N <br /> DATE INSTALLED: IJUL `� I OFF nn__ ,0t%r1� SUB 'TOTAL <br /> W.�� <br /> HOURS PATE <br /> LA[OR AND WUIPMENI RENTAL <br /> CODE <br /> TOTAL <br /> REMARKS: - -- - -� ---- -- <br />