11622 SILVER LAKE RD 2016-01-01 MF Import

�00 q 7 w. a ronw a ' • 2�CCt. �'0..._.......—.......-........ CITY OF EVERETT—Water Dept. Application No��...�.,�--- Date.:x.:�t:�.��.�.:..�.�......_.......19."'..l� Insiall...__......................_. inch water servic� pi e , � , Owne � _'�_<_' �/..�L.��% /�![�z c,' '�. _�c-z.1— lc-:^::!:.._:.................................__...;......................�._. ..............�............ .- • � �,. Address...... ...!.`:':�P.`.�......��...:.....�.`.�l:�i`��.Y.....sr.�.�.�z/.'�_-....s:L.:::::........ Lot............�/C. Z_�.............................Block Nu....................... ....................... Addi tion........................... ......................................................................................... Contractor.. .:-................... .............................. .......................�............................... Remarks._�:.�.�.::�?C., 2�� /......._................................................... �- . .:........................... ......................................................................... ........................................................... ............................................................................................................. ..... ............... �� Amt......................................... Rec.No.................,1.. :...... � � �.........�..... .... ay.......................__._�-.:'..�. �� - <' - ........ ........._.... . . � etmlendent / e l.l.f„ ,::,_ � .....................:_"............................... ....................................................................... _ , .........�.::<r............. .-.............................................................................................. - , ., � ;.,. �� • ....................................... ........................ .............. .................................................... ...................................................................................................................................... ...................................................................... .............. ........................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ShopRemarks........................................................................................................... .................................................................................................................................... ................................................ .................................................................................... ........ ................ .......................................................................................................... ..................... ......................................................................................................�-....... ............................................................................................ ........................�---.........-�-- ...................................................................................................................................... ....................................................................................................................................... ................................. ........................................................................................... ..... WorkCompleted................................................................................................ ..... Foreman