6929 CADY RD 2016-01-01 MF Import

nra�. � �'� .2 � . APPLICATION FOR SERVICE seRvice (Vo Q J � N� , ^ ; CITY OF EVERETT WATER DEPT. ORDER . � FI%ED .` /�1. .� � . � DATE'___—..___. _. _'10—_ / � DEPOSIT s � . . . W. O. ❑ . ..: �_._'.__ ._. . � No.'__—_—.—__ ' _ � � _ ' ' r� � SERVICE �er�ooncas�—_--_�- / � � --------_BLK.—._—_LOT--___ADD._—._--_. _ i OWNER—_'"' .'_'-- __.- _-'_. _.. � . _ - -_CONTRACTOR . __. . _.' --. . _'—._— _—_ � .' � �� . FLAT. . . �i . IN�TALL _�—_METEREO SERVICE_� � ' � � �/ ' ' '. -� .'. . � � � -.___ ._—__. .__'__ __. _.. _ .. ___—. I NEREBY �PPLY FOR iHE USE OF W�TER IN ACCORD�NCE WITH THE � OR�INANCES hND POLICIES OF THE WATER DEPAflTMENT NOW EXISTING � , " . _ OR AS SAME MAY BE HEREAFTER CHANGED. eieHeo: X.__ ___ ._. .. . _�_—__- _,___ .__ _ MATERUlB �i IN.� 1 IN. � II IN. � PRICE AMOUNT PIPE � COPPEIY..GALV...S7EEL ______��....___I__.___._____I'_____I____ . Gi� _ lJ�J_'�� CORPORATION � � Ij �CUSRB COCK` OT -- _ _ ----�—�— � _I_ I - �.. . � � I — SERVICE BOX PLASTIf •. C I l� " _'�' _ _ __ METER VALVE � _.. _—_. _._ __.. _ -- .'___ _"'_'— ' _'_ _ METER No. TYPE: I +p ME7ER BO% CONCRETE 9MALL LARGE - -- ------- � - - ---- �--�- � - - ,-- � -� --- - - i -- - � - - -- __ _ _-------. -----� - -- ---- - -- ---. __ _ -- -- - � i i - � ON DATE INS7ALLF_D: ti ,� _! �, I � OFF ,ri i� SUB TOTAL �f /-�� CO�E I LABOR AND EOU��MENiPENTAL -- MOUP! P�TE . �LL=-=-� - -- -�- �'�� ' i,_�_ _ ;-� -_---------- ------------- �_�- --' . r ��I ! 3 I � - �".____�. _.,�_'-- - - , �' � ---- ----------- --------- - - - - ---- i ----, ----i, i --� -- - _ -_ - _ --- -� - -- - -- � . , � , L, . .. -------- - - _ _- - _ __ _ -' - - + ----. --I , � TOTAL �� )�, REMARKS: