Laserfiche WebLink
W. D. FORM 9 e �Go9 ACCY. NO...Y.... ._Y.�. :'.t..l. � <br />CITY OF EVERETT—Watcr Dept. <br />Applicalimi No..�. % �r.5.'.�......... Date..........-...:..! .. (, �f ..-.........19......- <br />Iu�tall ................................ inch water service pipc <br />Owner. ................................................ • � .........._..................................................... <br />Address ..............._�.'--5.L_�.......s�-l'.:�" r`-y '.-.c/ %� ti.:........................ <br />v <br />T.ot- -- ---- - - - - - .......................:.'Block No..........._................................... <br />Addition................................................ .................................................... ............. <br />Contractor.............................................................................................................. .. <br />Remarks........................................................................................ ............................. <br />..................../l:'.�f �C7.-:...................................................................... ........................... <br />........................................................................................................... ..... .............. <br />Amt......................................... Rec.No..........._..........-�----....__............................. <br />.......................... . . �.`!: <br />By ..................... . ..4_?,: ... <br />� Superintenden3�� <br />,�:1Lt�yt' <br />Shop <br />\i'ork Completed ... _.... _..........._._ . <br />_._..__.._....... ....._ .... ................ <br />Foreman / <br />z <br />, <br />