Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
W. 0. F4qM 9/�i�` • ' <br />i�/ Acct. No...,ll.?.i:�! �_-,_., <br />CITY OF EVERETT—Water Dept. <br />Application N�o�..��%.�f. -.._.. Date............_�..>.. .�. ,P ................19.1..Y. <br />Install ...........:.i .3�__,_,,.__ 'in/ch tv��ater service pipc <br />Owner........... �.�..�....4v....�ae:lcc�o.oz%f ............._....-- .............. ..._................. <br />Addrr.ss.........�l.'. o..-�...�✓� lf.s .t.'.. .�� ................_...._. . <br />.................. <br />Lot ....................... ../.✓'�..---........_.............. Block No......... .............---- <br />Contractor <br />itemarxs._. ./.J.'.r.<:a �..�.-�e�� �: �z..s._�......�:.:a. a.w��...r..........---•---- <br />........................................................................................... ��'.-.�.`,r� c �c./.�''..........--�- <br />rr _ - -- - --...... <br />Amt..__.._v. n ......:.............. Rec. No... -... 2.��_� �j t� i�, <br />� , . <br />...-- ...... .............. .................. ........... <br />�' . � <br />1�� .f�ll�-z�u.t' • /,�, <br />� 7 By....7'7?:-_� :.'.___ ............ .............1�:.�.1.�...._�:�?�� <br />Superintende.it <br />^) - <br />............."'--..............._................ <br />......... . .................... .................... <br />................. .................... <br />Sl�op Remarks........_ <br />................................................ .. .. <br />........................................................................... <br />................................. .................................................................................................... <br />.................................................................................................................... ................ <br />�/ , /�. , <br />.. ....... . <br />;.; , <br />�1'orlc Completed_ ........:.:....�........::'.....::..:::........--............_'...........�---:_...__ <br />Forema <br />