518 VERALENE WAY SW 2016-01-01 MF Import

NoP�' � '3�g1� CITY OF EVERETT ORDERE NQ � APPLICATION FOR INATER �ERVICE p� � � FIXED DAT�L��1 �19a�i � Ci � DEPO5IT S�O ._ No.—_—____-- r7 ' n � //� SERVICE �ov�ooq� � '3/� L��"��"�z—`� `' ��'-�BLK._ LOT��npB: � /J��//' � �=�� OWNEF2__f]iL-�'L_�'�—��J�� _--CONTRACTOR � �/ �L.di� INSTALl�L�!_METEREDSERVICE—_-- --- -- ---- I MERE9Y APPLY FOR THE USE OF WATEF IN ACCOflDANCE WIiH THE / / OI!DINANCES AN� POLICIES OF T11E WATER DEPAfiTMENT N01V EXISTING .LI %C Ofl AS S�ME MAY BE NERERFTER CHANfED. ei�t�E . __ _ MATERIAlS I Ui IN. 1 IN.�2 IN. I PRICE AMOUNT �-T-_ _- PIPE COPPER -- GALV.--STEEL CORPORATION .______—�_—__.'___ �I— � i_— _� - '— CURB GOCK OT I I I SERVICE 90X PLASTIC •- � I ___ __—'_. _ ME7ER VALVE _—___ _ . ._— ._._. _ -- --_—_ _—_ . ___— ___ __ METER No. TYPE: , ._'—__._ _ . I '_'�— _— . ._' '—__. _ _ . lAETER BOX GONCRETE SMALL LARGE � I — _.—___. . . . —__ _'�'�I _�I��—_ _ '_—._' — I _-_ _ — I — —_-_ ___--_ —__'_ - I I _ '- __ __ _— _�—_—_—�- '_ —. — _-- .--_— I ' I i j �6. DATE WSTALLED: G��')�� / y�`. I � ppp SU6 TOTAL � GOOE I � � LAUOp AND EOUIPMENf R[NTAL I HOURS NMi -- � ---- -- -- ��--!/-�= - -- . _ - ��-'�1- -- -- � ---- --- ��_�_i� -- - --'� — y�c,-�"��/ -� – -- ---- - - -- --- ----- --�, — - � TOTAL � REMARKS: