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1522 BAKER AVE 2016-01-01 MF Import
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1522 BAKER AVE 2016-01-01 MF Import
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Last modified
1/23/2017 10:51:41 AM
Creation date
1/23/2017 10:51:32 AM
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Address Document
Street Name
BAKER AVE
Street Number
1522
Imported From Microfiche
Yes
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W.D.Form J 100.1 11.10.7/ ' . <br /> CITY OF EVERETT--.Water Dept. <br /> a , <br /> Applicallon No. �.�5..... Dete ._ .___�� 191._b.. <br /> i,�" InstalL_ �I7-�� inch water servicc pipe <br /> .:��'� For _. �, �/� ',_ __ <br /> On.... �Sl-Y _. ..1.�'D-�t"C�[_.�.! .. ._. _._...:;tteet <br /> Loc............................___........._... _..Block No.....3.../.3 ........................_..._ __ <br /> AddiNon..........._........_...................._. ............. .................. .._........................._.. ........... <br /> Remurke..................................................................._.__........................................ ....... <br /> _ _............_...... ... ....................._.._ ___.............._.............................._........_.... <br /> _.......................__ ... ._ _....... _..__............................._.....__...__............_ ...__._.... <br /> ......_ _.. <br /> _ _ _ . . <br /> �.. �' ��.1� <br /> -- -- - � �_._ . ._ _L <br /> -- - <br /> LABOR AND MATSRIAL USED <br /> — ---- --- -- — ------------ ------— —- — - -_. . <br /> � —_Na --I Sise _ —�---------------._—._ . .. <br /> :. ✓ <br /> .........../.................:....:....�'k..... Lead Connectlon Complete <br /> i , <br /> ..........!.............. ....a..�!.J...:.... 9addle Complete <br /> � . . .. ,� , <br /> .......�'..�....._ft. ....._.a........... .._+�....h.E'T:..................................Pipe <br /> � ,. <br /> ..........1...............I...x........,.._. Service Cock <br /> ........................... ...�'..:..a.t.... . Servlee Boz <br /> -- - --- <br /> V"O <br /> No. Houn Irbor............�a:....................Coet......�.1....:.:........................................_.. <br /> Cutin................�:�.......Pavement....................X....................... ...................9q. Ft. <br /> ..................X........................ �, <br /> .................... <br /> ....................X........................ ,� <br /> .................... <br /> ....................R....................... ,� <br /> ................... <br /> Totsl Sq Ft. <br /> _ .... <br /> . .. -- = — �— - -_-_.— <br /> Remerke �1f itcri3� iip ?.0 ���� j ..,. <br /> �: . __ <br /> e'��`.�d� �`�+���lc . x..y ,,,�..t,. Q'� �- <br /> _ . _.... <br /> .. <br /> . . ._:. . � �:Y.4.�r�-✓.i�"� ..... .._.__.___�........._. <br /> Ordtr Recelved ��� I <br /> ..._. <br /> Work Campleted _ . . . (,� ,j� (,J��£,� � <br /> � A Foeem�n �� � <br />
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