Laserfiche WebLink
_,� 92.!' -� � <br /> w. o. ropw a <br /> ACCL. NO................................. <br /> CITY OF EVERETT—Wa)er Dept. <br /> ApplicationNo...a�.�..�-.� Date........r/� .�_......................19..(....Z, <br /> 3/ <br /> Install.............../....`�......... inch water service pipe <br /> Owner_........................ ...................�..y......._..../. ....._... _......................................... <br /> Address........'Zr..`.�./._L2........�.'/..�?�P.F-U.,,1._. ..... ...................................... <br /> Lot..............................................................Slock No..................................�--......... <br /> Addition....................................................................................................................... <br /> Contractor.............�......................................................................... . <br /> Rem^a']c�s..._ ....��...Gt..<.�a-s.3...C�.........-��...C'.tC�.�.C.�..............Q_._............. <br /> �....................... <br /> .....I,�........C.....�..�......................................................................�---.......................... <br /> .................... .j�. ..................................................................................... <br /> Amt......(.�...1.'�..�...._........ Rec.No..................................................................... <br /> By................. ...................................................................... <br /> Superintendent <br /> ....................................................................................................................................... <br /> ......................................................................................'-�--..............---........................... <br /> .............................'---....................................................................................................-- <br /> ...... ..........................................................................................................................'--'-- <br /> ...................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ....................................................................................................................................... <br /> ShopRemarks........................................................................................................... <br /> ...................................................................................................................................... <br /> ...............................................................................................•---...-�--��------..................-- <br /> ....................................................................................................................................... <br /> ............................................................................�----....................--•-•-•--_.........------....... <br /> ....................................................................................................................................... <br /> ...............................................................................................--....--•---�--........................ <br /> ....................................................................................................................................... <br /> ............................................................... .......................................... ........ ...... ....... <br /> Work Completed.........`�....Z�7....�.>............. ..............V.`�..�'.".:.......... ... <br /> � Foreman <br /> � <br /> J <br />