Laserfiche WebLink
W. D. 1'OFM a ,��0/ <br />- � a <br />Acct. No.._� -.�:...[.:�'.,'?.... <br />CITY OF EVERETT—Wa}�r Dept. <br />ApplicationNo....!...7._�.i%/ Date..._ ............:.:�.::/...:f:..`:�......_1�J........ <br />.......... <br />Install ................................ incli water sereice pip� <br />O w n e r ....................... <br />............._........---,........- ........................................................... <br />Address ...............lri: .��..4?,'?......._/t: �.f.y(::t.> _- - . . l: .. , <br />� ......�...�....� ::.:............................. <br />Lot ................................. �--...... -� -....... - ... Block No.......................................... ..... <br />n,�a;.:.._ <br />Con tractor .................. ............... <br />� ...................... <br />R e m a rks. _, L.. �a b.` ...................... <br />.................... <br />....... Rec. No ...................................._. <br />.............................. <br />�,/ `� <br />By ..............."'........._.............-"" . y.4 �_ <br />�1..:..�J.... ...._ �!..-... . .. <br />Superintend^.nt�~ <br />�.�lC'�� <br />............. _... _.............................................. <br />Sl�op Remarks...__ <br />............................. ....... ................. <br />..................................................... <br />.. ................................................... <br />.................. .................................... <br />.. ................................................... <br />' ........................ ............................. <br />...................................................... <br />. ..................................................... <br />\Vork Completed_........... <br />.......................... - ......_............._...._ <br />............. ............................ ... .. <br />_....... . <br />Forema <br />