6630 BEVERLY BLVD 2016-01-01 MF Import

APP�r ��J �/ APPLICATIOW FOR SERVICE SERVICE Nn 22�� No. G� 14 � � CITY OF EVERETT WATER DEPY. ORDER � FIXED DATE.. �Y-_ _. _._ 1BJY' /J /' !f ! ! � DEPOBIT s L._C-.��• W.O. . �'.��.C�. .�N�o�-_____-.___._ ._ _ . /-/�, -,{ %��.., N �Y.�v. SEHVICE Isr�nonc��l-S.E.S�'--j�. �� .f�%�-��_�4_ -Yi��9LK. J LOT..�.. _ADD_P��p�1. ��... OWNER�j..__�'I_/{ _____ _ .___ _ .__ ._ __CONTRACTOR___-_. . F ' IN6TALL ��__ E D SERVIC � - _ .. _ _. __ . ___ _ ____ . ____ ; . r J '� _ . .. I 1 HEREBY APPLY FOR THE USE OF WATEfl IN ACCOND�NLE WITH TNE / OBDINANCES ANO POLIGES OF THE WATEfl DEP�RTMENT NOW E%ISTING i �' /� � OR AS SAME M�Y 8E HEREAfTER CHANGER ncr+co: X- ��'' " ' V ��-,.' �" ��- � — L_ MATERIAL{ � IN. 1 IN. I 11N� �� rhRICE AI.�OUM_ I � PIPE COPPER -- GALV. -- STEEL � ' _ _ ._ _._.. .. ._..... . _ __-_ '- _ '-_- _-_ '. ._____'..— _ _ _ . � CORPORATION I I . . _.____. ____ _-_ — _' _. _ __. . . _ _ -___ _ . _— i CURB COCK OT I � I �__ . _.. . . . . .. __. .- . . _ ___-"' _ �__ __- -1--__- _-_ I SERVIGE BOX PLASTIC - C I � I � METER YALVE �� --- - —�. . �_ . .�� . �-- —__ _ . . __ . _ i _ _.. . __ __ ` METER N -- - TVPE- I� 1{ 1_ I �E�L� JG I-'n[�i�� � METER AOX CONCRETE . SMALL LARGE I '— ft�c rc �z ��,� �u K 1_---�—�—� __ �__ -- � - - -i--- -- ______ _ _ _ _ _ , , ,_ � � _ __ __ --I --� �� __- - - _ �-- --- -_ _ : _ -- , _ _ ___ __ - -- �---- -_ _ _ _ � � --i - - - --- rtl ON � DATE INSTALLEO: /_�// /._ y / �� OFF SUB TOTAL V �r / S' C� ODE � LABOR AND EUUIPMENIRENTAL __ '� NOUPS lIhTE � I -_____-. ... _ ._ __._ ._-__'___._ I I � - .___. _ . . . ,----! -- � - � llrLr�r nn/� I -- i--' ----- _ � �. �- � �r�' t � - �—', -- �, ,� ��• � _ �— -- -_ �� . �_ � _ � _ � TO iA L �. ' __' I REMARKS. � �� _ � . /� � �. � v�� � __'_'__-_-_____f1l_'7.__-'____'_.�'. �. .. " "