1412 PARK DR 2016-01-01 MF Import

08o�G' z.� ,2�:� � - � w.o.�onw a ACci. No.... ...--d' �t.............. � CITY OF EVERETT—Water Dept. i J � 1 �'............. .........._..1s...---.. APPlication No.�..�x_S?.!-t.l,......... Date.�...:jc�... � � Install......._.........._........... inch �cater service pipe Owner..................................... :. ..........-�--.... ........_... ............................... r� �� ---... Addiess.---....�.J:f...!_�c.._;_S?f.cc.`4.�'�:.....A�..:ti.:.._......................•--..................... Lot...............�-�-�--�-••---.................................Block No................................................ Addition........---.•............................................................................................��---........ Cenliactor. .....------------------------........................._.................---------.........---......... Remarks..............._...-----.......---................................................................................... ..............._�:'..L!..1�.---�----............................................................-•---................._......... ......................................._.............................-�---..............................---........................... Amt........_............................... Rec.No...---•----...........-------......._......---...�................ i � '':14,C, By...........................................---...._....._:....... . ....... .... Superintenden ....."'-"'-"........................"--'...............-. ..............................................`V...!....:.............. -•-""...............""'........................................................................................--'................ ........................."-"-'...."".....................-"••-......................'-'----......................................_ ........."'...-'-'...................................."-"....................."".................................................. ......"""-'......................................."'..................................-'-'---...................................... .................._........................-""..................."--........--""............. ._-__'-""................... ............................................................................................................. ...................... ..............................................................................................................'--...................-' ShopRemarks...................................................................................................�- -.. .._...................................................------..................................----.........-•---...__..._. .... ...............................................................................•---..........................----•--........... ...................................................................................................................................... ...........................................................................................................-.....--•---........... ....................................................................................... ............................................. .............. ........................................................................................................................ ....................................................................................................................................... .__.._....._........_ ..... ......................................._._..................................................... .... \Yorl: Cumpleted....._............................_...................................- .................._._.... / Foremnn