5101 23RD AVE W 2016-01-01 MF Import

APPL SERVICE No. � �� CITY OF EVERETT ORDER NO. �i'PLiC.'1T1^M i=0fi IVATER SERVICF � -�. % _ y%s� � FIXED DATEL�_'_ . .�1_.__ 1 �6: � DEPOSIT S �;�� ' W. O. -_"'_- _' No._-_-_-"____'_ �� / / � / �S "L l / SERVICE ter�ooqesel.-,/J�. ' �_(��+1-=-l5��.-BLK.. _. _._LOT<--kL�D. zlr�-c.� - -- ' � i� / �- i d � .�.� OWNER_L_�'�,�/ Lz��_`_"��/_. _ _ '._-_ ___. .CONTRACTOR_. __'_'_.__ _ _. . ._ _ -_.- -� � �rj' INSTALL��rC___METERE� SERVICE__.. _ _ - __.._ ___._ __— . _ _. / .___- I HEREBY APPLY FOR THE USE OF WA7ER IN A:.CORCIANCE WRH THE - j-T.fi OFDINANCES ANU POLIGES OF THE WATER DEPARTMENT NOW E%15TI11G � -� /i1� . _ OR AS SFME MnY BE HEREAFTER CHANGED. s�cHeo: X„� LL�C=Lr,-r�y.� � -� yy'�_' _ i I � 2 IN. � P� AMOUNT MATERIALS � �i IN.' 1 IN. PIPE COPPER-- GALV. -- STEEL I �I^ � __��'i __-_ ______-___-__ - . �-..--____-_ __ _ -'_ CORPORATION I j I I -'___-_ ...__'--_- ._- '__ — CURB COCK OT �I I I _-__'_"___-r' _' -__ _-� I �_ __.__ . _- - - SERYICE BOX �(�LASTI -- C I / � .___- _'-_. _._-____-._— -1--_-_ __ _ _ . ____- _. METER VAWE � _-_-__ _.__.____. _ __. _ _ ._ .. _. . . .. ,__ _.__� '__'__".. _. __ ____'_'. __- METER No. TYPE: �I . � ._. _. __.__ __ . .___ . . .. __..__ _ .. . ._'..._.I—_.-.-__ � _-_ '-__ METER BO% CONCRETE SMALL LARGE � -_ _____. _... ___-- _ ._____ __�,—_— ___ . . _ __ � � _ - �� '-I- J_,'-_ .___ --_ - _ - � — -__ __ _ I �___'_ '_'__.'-_- - ___ . _'-_ � � ' _'____ - � .._.__1�___I-_ - . _ _. _ _ _-�__ '�_____ -� , .�.'' C N I UATE INSTALLED: �� .,` �� i j�� i � UFF I SLIB TOTAL COOE � r/ LABOq AND EOUIPMENfNLNTAL �� HOUHS RATC I / , I ' ._i/I..sr _�� -- ._. . - - —�--� - - -- — - - � - ---- —�-----___ .__ . . . . __ . ._. . .. _ — I . —�� .^,. ' _'�—.�—. .. — " —__— — C_t_1� -_ — _ ____ ' � � 3 �— -- ��`� -- �- `-!- i _ _ - — — — - /��— -- _ -- - - - --- -- -- �---_ __---- - --- - --- - _ _ _ ___. TOTAL REMARKS: