Laserfiche WebLink
- l7o,s" 7 <br /> w. o.ronr s . <br /> , ACCL. IVO................................. <br /> CITY OF EVl•RETT—Water Dep�. <br /> Application No.�../.....a.�..J Date...........��7�n.................197..7- <br /> Install......�/.��................ inch weter service pipe <br /> Owner..................................................�.......�........J. ............. . <br /> Address.......�z..�.1..�J................1......C�..CS."/._ _. .......G'............................ <br /> ...................... <br /> Lot..............................................................Block No.....................1........................ <br /> Addit ion....................................................................................................................... <br /> Con�:actor... .. ............. . <br /> ........................................._...................... <br /> [+ c, r— . ..X............. <br /> ..................... <br /> Remarks. .. ....[.i.. .. /'... �..�..�....r� f�.�'�5$�!rr <br /> .�1.F...'1�......d!..G..$_..l�-Qn....2a..!.L.f�/..�.11..L�.�..�tlf••{J^Y� <br /> C .... <br /> ............k.. ..�.J.�......_...................................................................................................... <br /> Amt....(1 ....I.T..:.................... Rec. No...................................._............................... <br /> Hy........................................................................................ <br /> 8uperintendent <br /> ...................................................................................................................................... <br /> ..................................._................................................................................................. <br /> ......................._.............................................................................................................. <br /> ............................................................... ....._.............................................................. <br /> ............................................................... ................................................................... <br /> ..........................................................................................................._.......................... <br /> ....................................................................................................................................... <br /> ............................................................................. ......................................................... <br /> ShopRemarks.............................................................................................._......_.. <br /> .............................................................................................................._...................... <br /> ..............................................................................................._.............._...................... <br /> ....................................................................................................................................... <br /> ......................................................................................................._......_.._.................. <br /> ........................................................................................ ......................_...................... <br /> ..............................................................................................._...................................... <br /> ....................................................................................................................................... <br /> ......................................................+�....................�....... .. <br /> . . . . <br /> .. .. ............... <br /> Work Com leted.... ....�.. , b " 'r� <br /> p � ��....7..�..........1. .:..... ........................ ... ( <br /> ............... <br /> Foreman <br />