1521 CEDAR ST 2016-01-01 MF Import

i ArPL. ijs �Q' S� CITY OF EVERETT ORL�ERE NO �I I �. i! N�' � � APPLICATION FOR WATFR SERVICE � �7 ��/�/ DAT��__P_��f00= � FI%ED � � DE�OSIT • y00____ /J No�—_.-- _ .� __�s��-1 � --CP.��A1 -- /7 - s�Y-S m lERVIC! I�Y�DD11[�D- ---BLK._--__LOL--_-ADD...-- .. OWN[ _-�_-_ . --.-.-CONTRACTOR_____—. -- '/ _ ��l INlTALL�7L— EREDSERVICE-___ _ _—_-.--____...____. -'___-__._._--_-- .. --1 1 HEREBY �PPLY FOR THE USE OF WA7ER IN A�CORD�NCE WITN THE � r^ OBDINANCES AND POLIGES OF TNE WATER DEPARTMENT NOW ERISTING �% '�� c o I OR AS S�ME MAY BE HEREAFTER CH�NGED. •iaN[o: X �'(!�_. Q[6'ifF=------ m� M��[NI�L� W IN. I IN. � ! IM. � I •111 •MOUNT _ O 3 ' r�pE _ _ COPPER-- GALV.•-STEEL_ __�L_ _ _ m �� I y CORPORATION m __—_ -___-- _'- 9 2 ___"'__-'_-__'_-- i CURB COCK OT __ � __ __ ___ a � , �ERVICE LASTI -- C I I _, �� �-_.___ -I _ ____ � � II METER VAWE ._.___ _ �_—_ —_ --_ -— -- — o m METER No. ._._�TVPE.._._-. . ._ I `f Ti n I __ ._.-__ ._.—.__ -_ METER BOX CONCPETE SMALL LARGE _ _ _ __ m� I -� _-___ -____-._ -_—__ . tn I a� �7�-�_ _ _ __ -- �---I -- -- - o� �A T�� _ 1 � � N �p/y�� —"_'_-�__-. _ -____ _ — 3 N -"' _ __ - -��'�— �./N� __S/��1C ---' -- - -- -- _� 3 �t.'�,Q- _ "�� l�---- - I - — -- — �` m , _.._i_I.. � ( A __'.___ __ .. _._ _._.__. _ .__ ____-_ '__ -"' _' ____ _--. A I I a DATE INSTALLED: // /�_ �y(� I i� OFF�, �� SUB TOTAL y L/ � COD[ I L�oOR �NDEOUIPMENfRENiA4 MOUR! R�T[ N � - -- ---- - � ��-I-�-- ---- � ----- � �•��/�/�Kn _._i� . ~ -- ---- -- � ---1 - -- ��y/ �� _s'n�,�p� _ _ I� -- - — — �' --- - ---- - - - - - - __ _I—__ _ - -- - --- — -- __ __ __ -- - - _ _ _- T07AL I REMARKS: .. . _ . . I _ _ { � i L _