2320 15TH ST 2016-01-01 MF Import

s,��„-�� vsl,.�,1 5 �s �i; _ APPL. ��,�'i I<� . � CITY OF EVERETT � � SERVIGE rlo ( H H H � � N0. � ORI]ER APPLICATION FOR WATER SERVICE �y-/ —1e�� � , DATE_ � L�J - —L1 � FIXLD rJ W. O. � DEPOSIT ��•� No._— SERVICE (BY AODRE88/)� " ��'� t I�t " ��__BLK.____--LOL____._ADD.--__—____ OWNER��`-�- -�� CONTRACTOR-�I��J�.� �C�- — �� LA � INSTALL__�=-�METERED SERVICE—_- --- - ----��------- I HEREBY APPLY FOR 7f7E USE OF WATER IN ACCOR�ANCE WITH THE OflDINANCES AND POIICIES OF THE WATER DEPARTMENT NOW E%ISTING _j/ G �1 7 u,v' OR AS SAME MAY DE HEFEAFTER CHA4GED. s��Eo: �.�rl—�-J��l�"- - --- -- MATERIALS �iiN. IIN. '� 21N. ' PRICE AMOUNT �{ . n �J % PIPE �j ICJ�/�'l) �/ COPPER - GALV.- STEEL��,r> ��I--_I--�I -_I_ _. _._— ___ _ -�—__- _'_� _ CORPORATION } ��?�% ___ I i _.._ __ — ��Ra � a,- 3 °!�>D i� 7 _1 — � '� '__ --- -- — _—�-- I --�- , SERVICE BOX PLASTIC -- C 1 _ _ ___ __— --T__. _. - __— METER VALVE � . _ .. .._'—_— '__ I _'_—' ___I '_'_ � .____ . . ._-_'. _-- -_ __'- ' __ —i _ . METER No./�C�� r,� / ._TVPE: � ./_-_----- - � . _ _—_ _ _ '__ —" -_ 3, � METER BOX(� CONCRETE _� - LARGE- I i I —�� ; _G'{;_"1-� �-�--�--_ -- ---- -- -- �1�1. � -r�--�`�7-- - I s --- — — . , •�' — �/��t-�- ; ---� �,�. ,: ��_ �, -� � - - -- - l'o K,.�l 3 �la��`�� — = –� -- -- -— --�--- — .�n.,�':✓�y-��-1��/.%�.— — �— �--�--�— --- I � � ON DATE INSTALLED:/ Ih/ /-�'1 �OFF SUB TOTAL / �./ , COOE � IABOR ANU EOUIPMENfRENTAL I HOURS �.AiE �I � -LL/ "_—___. " '_.—___-_"_ _ .___—_.__ " - - _ I 7 I s �j-- -- — —� —I�---- — -- -- -- — --- , , /� , � .5 c,�_— v � �� 9 .� S `- /� �/ - � _-_—��___ . - -.J. ._— �i.J"� I—._—. _ _._._—- — — -- — i�-�.r ^�/ �ry�'t�—�-- / -- ------- -- — -- - -- — —�—�.s�� "�l%==�'U�/_!:� 1 __ -- — II —. -- ---- -- — � _ TOTAL REMARKS: