2210 GRAND AVE 2016-01-01 MF Import

2" �� AP�LICATION FOR SERVICE SERVIGE N° 2373 i ARL. Z/ �U ORUER ' NO. CITY OF EVERETT WATER DEPT. "��__��2�_ � DATE_—f � FIXED y W.O. i � �� — — � N o.— �EPOSIT ��__ � /y �7 �� /��l� i7 r� ��2GC�1 �y7� � i � ADJ +1�/.. ! � _�`L/Ci �.1��J� ---BLK. � �LOT�_L—. � $ERVICE (S/Y ADORE98) y` '' � ^�l ,��, '�'l � � �� s}'�� ti.`,� ,.,l�CONTRAGTORI�-�'�yJ� � OWNERJ��&!2`�— .' •�%T- —_._— I ,/ F�T �_ —' —___-- METERED SERVIC �— � IN67'AL�--�—�____ I 1 HEREBY APPLY FOR THE USE O� M'ATER �� CCORDANCE W�TH THE ?��_�� p��. �/'�, 91GNED: X...�-- � 11� { I ONDINANCES AND POLICIES OF THE M�ATER DEPARTMENT NOW E%ISTING 4 OR AS S�ME MAY BE HERE�FTER CHANGED pq��E �MOUNT MATERIAL� � �rv I � �� I S �N i I ' '�_�� __ COPPER,-GALV.•-STEEL S --- — 1 PIPE -- — J __ __ � CORPORATION __ I I _.— -- CURB COf:K �T _ _ ------- I __, PLA9TIC -- C � �� ' SERVICE BOX� ___. 1 - ____- — I MET6R VALVF. .__---- I �— TYPE: 5S / --� i METER No. s',�. ` _-- ,U nd,I 0-li�I. — / ---- - - —_'_ _— tell r�— --��_.—.,-�—__—�_' , __—___—I � � METER BOX CONCRETE SMALL � LARGE __ — q ' � � — - — r�..`"�;-�,��, „�,rti�;� „, ,. _i i ,- �---- „ L_. — '-- -- --- �____ �t - 'i? .t til n n� !� I — _ _ -- I __ --- — I � --— -- — _�— _� � I 1 — - -- I � � � I - ,�--�• I � �N SUB TOTAL 1 _ � OFF � DATE INSTALLED: j j_ j' �7 NOURS a�re / C{-� LABOR AND F.qU1PMENf R[NTAL -- ----- -- � 1 � I � ----------- —- ' � ..s_ -- -- -- I � --— ----- i' :' '� I .s -- — — �I--I�- ��-`�� I,fi' � �� -_�� •l � � __' _ -- - - � --------- I - - �-li _-__- --- --- - - - - - - --- - -- -I--- I I TOTAL ` '�--��--`_' ) :? � �� i /I�� _.�i; (a,� .�� l�/�`-�--____ IREMARKS: . �_��J._•_I��-_L' I-� .(�_ Jr� . .__. .-- - �— _ — __ 1 . _— . .