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i APPL. �0��� APPLlCATION FOR SERVICE ORDERE N° 1717 <br />' No. L <br />i CITY OF EVERETT WATER DEPT. <br />� ," 7 <br />� IXED DATE —_—� —18 � <br />I � O <br />I ❑ oEPosir �"S'_- �v. o. <br />S No.___— <br />� p 3R�o�� <br />I SERVICE (BY ADORE96) -5 � G� �C�(��,.,��U�_BLK. -� LOT J—ADD.����iL_— <br />I OWNER ��T7 T�.s.Ui ���Fv __CONTRACTOR_ Z� �..La1L _' �-{1�JS�S �2__ <br />I '/�„ FLAT � f��-�x�sa; QU, <br />I INSTAL Nii�}!!'BSERVICE---__ __ -- E�•'-1��'l7 —.----- <br />I 1 HEHEBY APPLY FOR 7HE USE OF WA7ER IN ACCOR�ANCE WI7H THE ` ' --��� � <br />I ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING �— /— <br />I OR AS SAME MA5' BE HEREAFTER CHANGED. eicHeo:X "�� .��_ �«_" --- <br />MATENIALS �.4 ItL 1 IN. I 2 IN. � I �A�CE AMOUNT <br />� PIPE PPER - GALV. -- S7EEL S� I I _! <br />I CORPORATION _ � I <br />C� URB COCK OT _ _ __� _I _ ___ __ <br />I SERV(CE BOX PLASTIC_-� I —JII. I <br />� METER VALVE <br />METERNo. _ —__ �_ TYPE: _�__— I 'i_— —_ --_ -- —__ —_ <br />� METER BOX CONCRETE SMALL LARGE I__ _ <br />�- t/ C`.�_ ., r i i I � I <br />I DATE INSTALLED: n_ / / _ <br />d CO <br />COOE I <br />� � � <br />--i—i—i -- � <br />� ON <br />LABOR AN�EOUIPMENfRCNTAL <br />- --- a �� -- <br />37� <br />REMARKS: <br />__'_--_ _nj �� — <br />N <br />SUB TOTAL <br />-I HOUkS RATE <br />I 3 I -- <br />� <br />TOTAL II I <br />