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3322 BROADWAY 2018-01-02 MF Import
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3322 BROADWAY 2018-01-02 MF Import
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Last modified
12/20/2019 7:26:58 AM
Creation date
12/20/2019 7:03:33 AM
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Address Document
Street Name
BROADWAY
Street Number
3322
Imported From Microfiche
Yes
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� <br />;� <br />� <br /> ' --- / 36 0 / . _. . � <br /> �. A PRi]BC 3M <br /> w. o. rowr.� a . <br /> CITY OF �,�RETT--Water Dept. <br /> �- - <br /> Application No.....'..:...:.. .:..'.,-. Date....._..�'�:T�.�:=_�.. .........19�� <br /> ...-�'-`- <br /> ,�.�/j�stall.........!�.............. .inch u�ater service pipe <br /> Fx ...........�-c��<:r,��......r...-*?;z.�•-�-..................---�-......................... <br /> On .. ._F�-'.`.....�..�c.tsr�'.<:�'-'yr.................................. Street <br /> J ✓ �� <br /> Lot._._......................._............................._. Block No.._---_..............------•- <br /> Ad�lition ....................................................................... .............................. <br /> Remarks �'�.�.��c._:�'rG..�:-.......:........................................................ <br /> __......_.. ._ ....................................................................---- ...........------_.-----• <br /> _ __ _.�� . ._..._.. ............................................------... <br /> P A 1 D �13�..----�---....._.........................................._.._... <br /> � .� �-�-,.�.. <br /> .... ._ _ ..._._......�� . �......_........ .... <br /> �� � Superintenden4 <br /> G�' 2G 1�Ev` �/' �� «, <br /> GYx 6i EVe1 aa ,LABOR AND MATERIAL USED <br /> �14iTi� N}�Fy . <br /> __No. � Size I <br /> ..........................�..............-r:.ead Connection Complete <br /> ..........................�................_......_.I SaddleComplete <br /> .......................ff._......................... ........................................................................Pipc <br /> ---...................._........................... Scrvice Cock <br /> ...................................................... Service Box <br /> No. liours Labor..............................................Cost..........................._....................... <br /> Cutin....................Pavemenl....................X........................ .........._............Sq.Ft. <br /> ;, �� <br /> �._. Z .................... ........................ ......._............... <br /> �'7C ' r:'.!�S� ............_......X........................ ........................ ., <br /> � � ....................X........................ �� <br /> ........................ <br />,�. Total ........................Sq.Ft. <br /> ---------------- <br /> Remarks................................................................................................. � ...... <br /> ......._............. .....................................-........................................................... <br /> ............................................................ ........................................................_... <br /> Order Received..................../.. ............................................ <br /> / R...�................ <br /> \Vark Completed......._(�/i 3/ � � Z- d�-�'_,1�; <br /> ......................................... ............ ../ <br /> Foreman <br />
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