9212 10TH AVE SE 2016-01-01 MF Import

�_ � � ��•"°""" �PPLICATfON FOR SERVICE SERVICE h� 2353 APPL. ,� ' I ,.�� (_; ORDER '. No. '�.: t� CITY OF EVERETT WATER �CPT. �; , �� Fixeo onTE�� '�—__t s--_ `� �.= w. o. � LDEPOSITg (_�C..� ___ No._ . .-- � SERVIGE (nraooae58) ��./ 'G� !L'i6�_—/4(%�= C��L-- —.BLK.--LOT � � l�Dd`�li L'1��1U�a.._� �� GWNER�—G-�-L`f!L� ' �� _y CON'�RAGTOR — - �FLA�`. ' INSTALL___�._�.---�EfERED SERVICE--- - -�--�- � � i I HEREBY APPLY FOR TNE USE OF WP7ER IN ACCORDANCE WITH THE r��' /�./ i ORDINANCES AND POLICIE° OF THE WATER DEPAhiMENT NOW EXISTING 91GNEDt X �j!�' ��—� ""�"�--- � � - i OR AS SAME MAY Ot HEREAFTER CHpNGEO. - - mATEAlALS �i ItLI � IN. � 21N. ��__I__ �'A�CE � /MOUNT p�pE COPPER-- GALV.-- STEEL I �I I ' _ � . _ . _--__ —__'--_ �.i "I II. _ _.--1I-- _ ��FURPORATION ___ ___ �1—. URB COCK 07 _ _I I _ _ _ j SERVICE BOX PLASTIC -- C I _ _ _I � I_T � _ __—_-. __ — -1 � METER VALVE — � ---- — —_ _ �_..—_.___'.__'_ '_—_—'__—" __'�—_ _ �� METER No. TYPE: '__ ' __ I�5 _' __ ---__ _ —'— __- I METER BOX CONCRETE SMA'_L LARGE _ _ __ _ �_ _—_ _— � I —.._. �- - ---' � � � _-' - '_ -- � I I _-_ , -I - -- i �--�- - -- - - -- �- I i I � -- - - -- - � ----- ,�� ,I �-ON I DATE INSTALLED: �'' � - ,. I � OFF SU6 TOTAL — C�i LABOR ANCEOUIPMEN"fR[NTAL � HOURS RATC f I .._ _.- __-I___ _ __ ....__ __---_____ . -__- . .___--_-_ I I �, _ (-, �•��/ . - _--- _-- . _ I I �JG,/ v _ �..�Jrr �� - - - - -- - - � I --�,�.��----- - �f �.L! � / - - � -I ---- -- � I --� -- - -- ------ ----- - ----- - - , - �---- . _-- - -- ' -- -- - --=-- � --- -_ ------ - � I--- - --- , I-- TOTAL I I � REh1ARK5: - � . ' ' ' ----' ."."