Laserfiche WebLink
w. o. F'oRM � � .D� �- � <br /> - - I � . Acct. No._1--:--('_l..�-'�-.--.... <br /> CITY OF EVERETT—Watcr Dept. <br /> ">-/..�.`_�...........19........ <br /> Application No..�.`1.�:.�:.2...... . Date..............::�..... <br /> ;astall................................ inch water service pipc <br /> Owner.................................._..................._._....................................................- - .._ <br /> � i <br /> Address...................�'.G?L'. �......:�L���»u�C.:c..�......k'.c.:......................---..._. <br /> Lot......................................................... ...Block No...- .............................._.......... <br /> Addition..................................................... �� ...... ............................................... <br /> Contractor..........................................._........................_.........--.......... ..--�------.......... <br /> n Z <br /> Remarks....../..�.e�'.................................................................................................... <br /> ................................................ .............. .................................................................... <br /> ........�............................................................................................................................. <br /> Ar.it...------••... ......................... Rec.No..----...----........---...............---�----...........---- <br /> � I <br /> , <br /> , � <br /> By......................_..........................,..:t.�.:........s.<-:{�.... <br /> Svperinlenden� <br /> y�r� <br /> ............................... . .................................................................... .......................... <br /> .......... ................... .............................................................. .................................. <br /> ... ... ................................ ... ............................................. ............................ <br /> .............. ................................ .............. .. ................................................. . .. . <br /> ....... .................................................................................................................... . .. <br /> .......................................................................................................................... . .... <br /> ...................................... .............................................................................................. <br /> ..................................................................................................................................... <br /> ShopRemarks.....................................-- .......................---..................--�----•--- <br /> ............................................................................................................................�--�-�-� - <br /> ....................................................................................................................................... <br /> .................................................................................................�--.................---...---........ <br /> ........... ......................................�--�--�-�- -�--........................._............................ ......... <br /> ...............................................................................................�---................._.................. <br /> ................................................................. .................. .�-�-........................................ <br /> ................._.... ......................................--...._.........................---..........................-..... <br /> ..................................................... --....... - .._............................_ ...............-- - - <br /> �'2ork Comp:eted.................._............___..............._._........................................... <br /> Foreman <br />