Laserfiche WebLink
�� \ <br /> 1 µ. L. FOflM� � � � /� ^ y � <br /> � � \�..'� Acct. No....,Ci.�-��'..,--` <br /> , p_�" <br /> CITY OF EVERETT—Water Dept. <br /> Application No.,l�.,:�:.'.:_�... Date. ......_...........�..'�...............19.�:..Y <br /> Tnstall................................ inch water service pipe <br /> O�v n e r....................................... ...... . .. . ....... .... . . ........... ....... <br /> i' Address....::�:.�t�.rZ�........CL:<.1.�..( ?�ta.�:.as' ....•�Cx'%........................... <br />� <br />:, ; <br /> .0'j, Lot..............................................................Block No............................................... <br /> r , , <br /> +. �';s; Addition..........................•�----...................... .. ...........--............._............................. <br /> �:�.. <br /> sy:;� <br /> �,'�• Contractor.................................{.... ................................................._...................... <br /> ,,�,; �/ <br /> ._ Remarks.....---.........y.:Y..�-.......................---......................---.................--- <br /> �,, <br /> ; <br /> ��:�a:� .. ...........--...................................._------..................... <br /> � r:_ <br /> . ,. <br /> ;r r� � ......... <br /> _,..'.-1> ................"""'.......................... . <br /> '"'""................"'...... ...... <br /> " ,` '; Amt........................�---�----...... Rec.No.............._...._................--........................... <br /> .�r+ ......................................-........... <br /> By--...-•.............................. Superintendent <br /> 1 ........................................'--.............................................---................ <br /> .................. <br /> ' � ................. <br />�"; ............_..............................................................•--.............................---........._............. <br />?,'``:; .................--............_.....----.......................---�---...............----............---.................... <br /> .............................. ...................................................................................................... <br />:' Shop Remarks....... .............................•-- �--..........---................................-----........ <br />� <br />� _,,.:` _......---- <br /> s ` .............................................................................................................._............. <br /> ... ......._.................. ............... <br />�;t ,, ........................................................ ..................................... <br /> ..............._---.......----..... <br />�,:::. <br />�.::,-,; ..............................................................................._................._................................... <br />;_ ;; <br /> P,.":` <br />,+ :. . ..................................... <br />!.. ;', .............................. <br />� ; Work Completed..... ....... ................... .... ..... ................... ......... . .. . ... . ........ <br />�"-;-- Foremmi <br /> �x:i'. <br />�:�,.� <br />,�,'; <br />�b� <br />