Laserfiche WebLink
w.o. FopM a // ��� �i� `�r s �' ) <br /> Acct. No..........�.�.�.s:`�.-... <br /> ' � CITY OF EVERETTL Water Dept. <br /> , ., , = <br /> Application No......../...l...�..�:�' Date........ ....::...-�...........................19..�� <br /> Install..................._........... inch water service pipe <br /> Owner--��--......................._... <br /> �........................�.................................................. <br /> Address..-----�7�l..�. ':��r-.'�!?:<<.':t�.............:.......................---............--........ <br /> / <br /> Lot-----.......................................................Block No....._...................--------......... <br /> Addition....................................................................................................................... <br /> Contractor..._......-.............................................................................._...................... <br /> Remarks........-. -- - <br /> � ..----��;---......................................................................---........ --- <br /> ........................`....��.'.�:�......................................................-----................................... <br /> ..................�--....--..........................................................................--................--.......... <br /> Amt....................�•--�--.............. Rec.No.....------.................---...-•---•--.......................... <br /> � � <br /> �� ', � : L • <br /> By-......._�:.�. .......:.:�........--- - -- -� -- ....... <br /> >/t/ / Superintendent <br /> .....................---.........---...................................................................................... ............ <br /> , ............""'-......"_"""-'...-'_"".....................................""'...................................-`..__.. <br /> ..............................._........................................"'.......................................................... <br /> ....."'....'-•_'_..._...........""...........-""_"......-"-""'....--""_'..........................."'-_.............. <br /> ..--"................................................................................................"'..............'-'............ <br /> ....................................................................................................................."'......""""' <br /> ....-•_"'.""...........................'-'-................._......................._........"'............................_.. <br /> .................................................................................................."-'-.""'......................._.. <br /> Sk.op Remarks...........................................................----....---�--��-•- ---................-- <br /> .............................................................................................................................�----��-�- <br /> ........................................................------�---.........-�-------...................................... <br /> .................................................................................................................................... <br /> .........................._..................---........................ -.__..-----------...---....----........_......... <br /> ........................................................................................................................�•--�--....... <br /> ..............__......--------............................_.......................................- .._...........---....- <br /> ................................ ............................ .............. . ................................................ <br /> ................. .......... . .._ _.. ....................... ............................................._...................... <br /> \\�ork Cempleted...._.................................................. ......._......... ......_........... <br /> Foreman <br />