Laserfiche WebLink
W. U. PORM 3 '�•�G� � � <br />Acct. No..I-.v2C%l_'�...-------.. <br />CITY �.`F EV'ERET—Water Dept. <br />���/ � ° i-�� <br />Application Nu .......... ..:a�....... Date_........�%..-...................................19........ <br />Install ................................ inch water service pipc <br />Owner.......----�-----•- ......................................................._.. -............---- --�-----�-- <br />. Y� <br />Address...- -�-�---........._/G 1._z�.�....-..._.5�.......----- ....................................--........ <br />r.,,r --- ......................... Block No................_--.......... .......... <br />Addition...................... _----�---.... _--�-- <br />r� �n�ractor ...............................-�---....... <br />....... Rec. No .................................................................�-- <br />,-��/�7-, <br />, f� T^'t-s i� . <br />By.........'-_-......'-"".........'-'..........�petr,i�GntendenY� <br />.- G' <br />ShopRemai�ks ......................................................................................... <br />�-........_ ................... ............................................................................ . <br />Work Completed ............................-- ..... - - - --- ......._. <br />.........................- Fbreman <br />