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1_"2 <br />` AP <br />No. <br />FIXED <br />DEPOSIT s <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE NO 2104 <br />ORDER <br />DATE___A/ft� _19 7S__ <br />W. O. <br />SERVICEsY ADDRESS)t — BLK.J33;LOT(=.TEA DDT«-L <br />nwwaRY:,OL.�I•q O,L27L� �c�.L7;G'._ _ —[Qti0 /S j <br />CONTRACTOR <br />11 <br />FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />N S <br />SAMEANDAPA7POLICIES OF THE WATER DEPARTMENT NOW EXISTING �_ 1 �����,� }1���.�•r.' <br />SAME MAY BE HEREAFTER CHANGED. SIGNED:: X <br />1 <br />MATERIALS <br />% IN. <br />1 IN. 2 14. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER j GALV. - STEEL <br />1O <br />1 CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />1 <br />METER BOX <br />PLASTIC -- C 1 <br />TYPE: <br />rCONCRETi j SMALL LARGE <br />I <br />_I <br />I <br />I <br />I <br />I <br />DATE INSTALLED: �'2 ._ r 3 / S <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN I RENTAL HOURS <br />RATE <br />I� <br />TOTAL <br />REMARKS: <br />