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Digital Provenance
Digitized materials: physical originals can be viewed in Special Collections and Archives reading room
Publisher
University of Nevada, Las Vegas. Libraries
Transcription
FORM 118 CALIFORNIA WATER SERVICE COMPANY APPLICATION FOR SERVICE AND CONNECTION ORDER PLANT. DATE. 19. THE UNDERSIGNED SUBSCRIBER REQUESTS YOU TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY YOU THEREFOR IN ACCORDANCE WITH YOUR SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED HEREUNDER, AND TO CONFORM TO AND ABIDE BY YOUR RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER AS FILED WITH THE REGULATORY BODY OF THIS STATE. SIGNATURE OF APPLICANT PREVIOUS ADDRESS. EMPLOYER----------------------------------------------------------------------------------:---------------------- A COPY OF THE RATES, RULES AND REGULATIONS MENTIONED IN THE ABOVE APPLICATION IS ON FILE TYPE OF SERVICE FLAT METERED SET TURN ON REMOVE TURN OFF CHANGE NAME REMOVE INACTIVE METER READ CHANGE METER OLD NUMBER SIZE MAKE READING NEW METER INFORMATION NEW SERVICE INFORMATION SIZE LOT NO. BLOCK TRACT NO. SERVICE ORDER NO. OFFICE DATA ISSUED BY_________ METER BOOK HISTORY CARD FIELD DATA COMPLETED BY ORDER ACCOUNT NO. 36777
