1819 CLEVELAND AVE 2016-01-01 MF Import

NO'� � ' / �/ CITY OF EVERETT SERVICE — APPLICA710N FOR WATER SEflVICE ORDER NO. � ' �' �. � FIXED DATE / f o__�p� � DEP0617 f �3,��y .-_.._-_ W.O. /�o No.__-._-_____ 6ERVICE t�r eonnn��-I-�_G�Si�._E_Lq,�,J� f�,.-rL-__BLK.3.Y��pY L_'_ ��.f"..a,�'ILIfKi ` � � 3�� OWN[gk��'�J��`��k'%(��-`„L�Css.J� . CONTRACTOR_. INBTALL:L•� __ LAT �_____ --__-_— ___.___._ / RED BERVICE___ . 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE ORDIHANCES AND POLICIES OF THE WATER OEPARTMENT NOW ERISTING 7�� / OR AS S�ME M�Y BE HEqE�FTER CHANGED. _ �s�L��y'!�=-_ naNeo: MAT[Rl�lt 1i IN.' 1 IN. i IN. P�PE � � � ►eic[ AMOUNT �+ ASTIG _ GOPPER_GALV.-_57EEL --- G� � -� CORPORATION _ —_ _-__- I - - C'URB COCK OT � �- —� - -- , SHRVICE BO __ _PLASTIC -_ C I________ � I METER VAWE __..-._-. _.. .__ _-_. __ _- _ —. .-_- __ _-__'-_ ___ METER No. � --- - -.- '___-__.'__� TYPE: I �S _'-_'-. ... _- . _' _'_ _ _.___. -_' __ _-_.__ METER BOX CONCRETE SMALL LARGE - r. O �s.f E_-".._.__—___.. _ ._-____ ____-7--. I -_ "_ .__ -- �� {�6�i__________.'_._ ' Q of��oPPFR -- — a,--�- — —�-r.�» _�fv,s il//� -- ----- — -- — N-�r e7,1 ---- � -- - — ,,, .. -� t- ,�_ - .� �------ _ ---- I • � �- -- -- - � i.r: �--/��- -- --_ _ I__ - - I LJ oN I _-_. DATE INSTALLED� //��e _ '7 ry OFF / 6 SUB TOTAL COD[ I L�lOR AND EOUIPMENf qENTAL � �I NOUq! qAT[ � � � ----- -- -- ,�Z_��_z l . -- --�_�� - - — �''��iJs?�L_ �_� — - — ---� --�� - `I' 7/-�- -----�' •?-�' -- -- � �_ -- - -i ---- - --- _---��-- - �-�_ -- - ------ -- - __---------- --- -------- . , -- -�------ - - _ _ - --- ---- -- --- -- _ - _-- -i-- -- - - - REMARK3: ��----� TOTAL Y