Laserfiche WebLink
Q / <br />t 86C <br />�^ Acct. No,/%�✓.� <br />CITY OF EVERETT—Water Dept. <br />Application No. LY Date ...................... 2.-z........... .... <br />19..�t.f' <br />Install .................. ............ inch water service pipe <br />Owner..............._.......................................................... ................ ................ ....... ...... <br />. <br />Address......... ......... —r............. ... ........... .......... <br />Lot.............................................................. Block No ................... ..................... <br />Addition ........................... _............................................. <br />............................................. <br />Contractor .................»......_.................... <br />......................................... .... .... .... ...... <br />Remarks........ ......................................... .................................. ». <br />........ ......................... _.. <br />Amt............. ..».._......_....... Rec. No ............................ .................................... <br />By ........... _.._.......... ...... .......... ._...... .........................._..._ <br />Superintendent <br />..«............ ............... »................................ .«.... ............... »........................ ........ <br />...............................«......................................... ................................... ........................ <br />........................................................................... ............................................. ...... <br />ShopRemarks ........................................ .......... _.......... ........ ... ......... ................ .. <br />Work Completed ....... ._..... _......._........................i..... <br />....._..............»................ Foreman <br />