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APPC �®� APPLICATION FOR SERVICE ORDER N2 1 763 <br />I No. CITY OF EVERETT WATER DEPT. �G� 7�17 <br />� DATE <br />i E P. XED <br />N O. <br />I DEPOSIT F /%y/. <br />1 SERVICE (BY ADDRESS) <br />ELK. �LO�TL!/I DD �E�y <br />OWNE <br />�OWJ/�f2 CONTRACTOR � _6 <br />r, FLAT <br />IMSTALL_L—�—METERED SERVICE <br />ITH THE <br />ORDINANCES AND POLIO ES OFREBY APPLY FOR THE E7HE WATER DEPARTMENT NOWOF WATER IN ACCORDANCE WEX STING <br />1 OR AS SAME MAY BE HEREAFTER CHANGED. sIGNEO:%- <br />1 MATERIALE i IF ItJ. I IN• 2 IN• �I PR AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />I CORPORATION <br />CUCURI -_ <br />SERVICE BOX <br />Ir--METER VALVE <br />METER No <br />METER BOX <br />DATEEII <br />CODEI <br />OT <br />PLASTIC — C I <br />CONCRETE <br />TYPE: I K <br />SMALL LARGE <br />L"( I ON <br />77 3 ❑ OFF <br />LABOICAND EQUIPMENT RENTAL <br />I REMARKS: %/ /_ / 0 „�t'P UI C•C'- " <br />SUB TOTAL <br />I HOURS I RATE <br />