Laserfiche WebLink
W. o. rQn.+ �. n RM :,� /3 349 - . . <br />� �' i aS V <br />CITY OF EVERETT--Water Dept. // <br />Application No ......... :.:.`.'_S .`.1 iDate.......... . ` �........_19...(�.% 1 <br />Install ................................' ch water service pipe <br />For..................................................................................................................... <br />On _,�^A...� :9.......�......................................... Street <br />Lot...................... /.............................. ......... Block No ......... ........................... <br />Addition <br />Remarks <br />....................................... <br />.............................................................. _.............. _...... _... <br />..�-......... e..0............................................................... .............. _... <br />............................................_................................-. _....... <br />SSuperintendent <br />LABOR AND MATERIAL USED <br />.......................... -,,,,......................I Lead Connection Complete <br />....................... <br />_............................. Saddle Complete <br />Pipe <br />......................St.....---......................e.......Coc........k ................................ <br />I............... <br />........................................ ............. Srvice...... <br />Service Box <br />.............................................................................................................................. <br />OrderReceived.............................................................................................. / <br />WorkCompleted..........................................................................Fo._.rema...rna'n.._ % <br />