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APPL; 0 g <br /> No. 00000����� pppp{{{{ ���� CITY OF SERVICE <br /> ORDER NO. :i L 7 <br /> APPLICATION FOR WATER SERVICE <br /> FIXED 00 DAL <br /> DEPOSIT f� W. O. <br /> No. O /���C,� <br /> 9ERVICEa DREE 1 - 8LK.- LOT °��Ap'6�__e7�2�d�t"!.. <br /> OWN .( CONTRACTOR <br /> F <br /> INSTAL ETERED SERVICE .__ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SOME MAY BE HEREAFTER CHANGED. EIaNED:X. <br /> MATERIALS K IN. I IN.I B IN. I PRICE AMOUNT <br /> PIPE _ COPPER•-GALV.•-STEEL <br /> CORPORATION --I{— <br /> CURB COCK OT I — <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE <br /> METER No. TYPE: I K <br /> METER BOX CONCRETE SMALL LARGE <br /> GATE INSTILLED: <br /> 7 ON OFF SUB TOTAL <br /> CODE LABOR AND EQUIPMENT RENTAL MOURS RATE <br /> TOTAL <br /> REMARKS: <br />