Laserfiche WebLink
.� y_ - <br /> I <br /> � <br /> � <br /> � <br /> , � <br /> ' ����� �) <br /> w.o. roaM a � jy, j O:�' �,- � <br /> ACCC. IVO...././..:t _... ..... _ � <br /> CITY OF EVERETT—Water Uept. <br /> Application No/:`,��.���.... Date..... ...._..... .:��..-.�...................19.�,Y. �, <br /> lnstall................................ inch wr�ter service pipe <br /> Owuer............................ --................... -........ � ............................ <br /> �.y�.:............ <br /> Address...........�vf�:y .:'�.�`�...��'..................._........... <br /> Lot..................._---......... ._.... ..............Block No......... -...................._--......... <br /> Addition............. ..................................................................................................... <br /> Cantractor.........�........................................................ .................................... <br /> , <br /> Remarks.............::..:....... -,.�'.�._�-........................----......................_----•- � <br /> .....--� .......................................................... <br /> ...........................----........................---....... I <br /> ............................�---�-..................................................................... ...............--........... <br /> i <br /> Amt................••-----.........----.. Rec.No........................... ......_............................_.... � <br /> i; <br /> By-............ ...................................._......p......................... �, <br /> Su ermteudent ,� <br /> ............................................................'----...................................................................... <br /> ....................................................................................................................................... <br /> .... ....................'•-'---.................................................................---.................................-- <br /> ....................................................................................................................................... <br /> .......................-----............--'--'--..........................................----'-'---............................. <br /> -"'_-•-"--"---............................."--.............................................---'-'--.................--'--.... <br /> ................................................................................................'--"---...........--'--............... <br /> -"-'................................................................................................................................. . <br /> Shop Remarks.......................... .............._....---.......... <br /> .......................................-----.. <br /> ..................................................................................................................�-�•-----............ <br /> .......................................... ..................................................�-----...................---...........-- <br /> ....................................................................................................................................... <br /> ........... ................................................ .................. .................................................... <br /> ....................................................................................................................................... <br /> ..........................................................................................................••-�---.................... <br /> ..................................... ............................. ................................................................. <br /> ....................................................... ........................................��---�--............................. <br /> WorkCompleted............................................................................._Forernan...... <br /> � <br /> � <br />