Laserfiche WebLink
Vn P. FOPM] � � � � � ^ � •"� <br /> . � ACCt. NO..�,.:•.:,..���..... . <br /> CITY OF EVERETT—Wate� Dept. <br /> _ _ j..................19.�:.Y. <br /> Application No..,l'.'..��r..7. Date..................:.::........... <br /> Inst�ll......................._.-.-... uich water service pipe <br /> Owner............................................................. <br /> ................. ............................................ <br /> 1��. �'��J � . � � . . . <br /> Address......._:.::.i........1.........._5:4�......s.-a�s�..`.�-r.......:..::.:4: <br /> ......................."'.. <br /> Lot..............................................................Block No....................................--•--•----.. <br /> Adaition..._.................�----......................_. ................................................................... <br /> � Contractor..................._.............._..........---...............................................---............... <br /> i �'/ � .._.......................................... <br /> Remarks........._,,a�......._�<<.........-�........................... <br /> ....................................................................................................................•--............ <br /> ......................................._..........._.................................._.................-----................... <br /> Amt.......---•--•--...._................... Rec.No.............................--�----........_...................--•- <br /> .............................................. <br /> By..........................._"'.._...._. Superintendent <br /> ......--'............................................................................................................... <br /> ............................."-......................---.........................-�---'--................................... <br /> .....--•..............................._......................---....................._....---.........-----............... <br /> --...---.........................._.................---.....-----'-•---.........-'---'-'...........'•----...... <br /> ....................................•---.............----.............................._......................... <br /> ......................................'-'--'•--•"--..................................._...-----................ <br /> ................................................................•--..................---'--................... <br /> ......................................................................................._---...........----....... <br /> Shop Remarks...............................................�--�--�---' <br /> ............._.............................. <br /> ........................................................................................ ...._......_.... <br /> ..........................._................................................-�---......................... <br /> ...................................................�---.............. .................................... <br /> ..............................................................................................._.... <br /> -•--•................ ............................................................................... <br /> ...........................................................�---....................... �----......... <br /> ...........................................................•-----.................................. <br /> .................................................................................................... <br /> Work Completed..............................................................................._Foreman...... <br />