8310 5TH AVE W 2016-01-01 MF Import

i / • � '�PP�'• � �. '2, �/n CITY OF EVERETT SERVIGE ' � -�� No. i r ORDER NO. - APPLICATION FOR WATER SERVICE � FIXED � DAT��19.� � � DEPOSIT g . O Q / N�-_— — � -��t�- .� �. � j�31 (.`- 5 � ��- /� �? _ ?'1� ^y SERVICEIBYAODHE68)��- —�—�� !- Rr�� BLK._—LOT ADD. OWNE�✓��y��-t�f4��x'�`^'��—CONTRACTOR_—__ -- — FI � — � INSTAL� ETEREDSERV�IrCE-- --- --- - ---- I HERE9Y APPLY FOR THE SE OF WA7ER IN ACCOaDANCE WITH THE ORDINANCES AND POLIQES OF 7HE WATER DEPARTMLNT NOW EXISTING ( b / . `�� / OR AS SAME MAY BE HEREAFTER CHANGED. sicrueo: X �,�.�� ./ �� -- MM'ERIALS I �a IN.I 1 IN. j 21N. . � PRICE AMOUNT p�pE � ' �L, COPPER_- GALV.--STEEL _ �I_ I I I-I�SooS -- ��-I--'--_i CORPORATION - — CURB COCK OT I SERVICE BOX �PLASTIC -- C I II I _ __. METERVALVE _�CVG!� � �__ _—_. ' I ��-�� —�— I I METER No. C /�/V _ /ll�ssI TYF'E: ITZYS4.y I ' � I -- -- —_--.— : i _ � J� � _ . -- —1 '—.' _ M E T E R BOX CONCRETE Pta�SI�GSMALL 1_ARGE I 1 _ I i I —_ `�—_—__—_ i .�—_—_— . — � 1 O ` � L✓��_— _ _—_ _—__. _—_-'�S�'�=!__L—I'I_ � —1 ~�1 `�_�� _S2 C Ld+.K�S Z. I --' --- --- � 15 0�3 _ ---------- -'I— - — - � —.__�.z �—Z 3-- -- - - 1 �I--1-�— --- __�_4_�1 bs To_p�-o�rs.Z -�r�c�5�{cc:�— -- —�--- � I � I i ! � ON DATE INSTALLED: � �-�r q " � � I � OFF SUB TOTAL CODE ' LA60R AND EOUIPMENfRENTAL I HOURS RATE ' --- �'T� � �S ---- - --- ----- �r ------------ -_ . ' ---- L=�=a��_)�_,� _ - — -- - ��I i I Il�,__ l -- ---- --- --- ------ �� � 3So�_'��- --- I � � ,�O I --- - 9f�— - t � � �� / --� 7 �— � �� --�-- _. . . __._._---�-----.._ "'_ ) ' �— � SD YtCi��?�"I_�_--- --- — �—__F —. -------- '--�--_._. __ . ---- ___-�----- rt b:��. � .5�:. ,� i -ir.. ':.1'C' _ I S. �� — TOTAL REMARKS: