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6419 BEVERLY BLVD 2016-01-01 MF Import
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6419 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/12/2017 9:21:54 AM
Creation date
1/23/2017 1:04:14 PM
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
6419
Imported From Microfiche
Yes
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/� 38 8 _ _ J� <br />w/. O. IONM :1 � j .�� �J� <br />CITY OF EVERETT--\7'Jater D�ept. <br />lt' c�.t <br />ettion No.. ../.%.5..�:�. Date ........:.....:.............. <br />�PP}i .� 1 I962 .................19...... <br />,.� / Fnstall ...............................inch water service pipe <br />For .�..:.4✓:...._�� �..t!:1�.�..r.�.'.... <br />...... .....:.�................. .._........ .. . . . <br />/� . ... <br />On .....11:..',�i..`�._��..t.,al..:.:.::L:�::,.�:. .... ��: �..:.:. `:.r �... ..... Street <br />Lot...........................................................: Block No................................... <br />. ndition ....................... <br />....................................................................... .. <br />Remarks .................. <br />..................._..-- - <br />� <br />Superintendent <br />LABOR AND MATERIAL USED � <br />N°•_ I Sizc I <br />- —�—• *_.____ <br />...................................................._I Lcad Connection Complete <br />..................................................._ Saddlc Cort.plcle <br />......................ft............._............I ....................... <br />............................ <br />....................... ..._.............. Scrvice Cock <br />........................... _........................ Fc: vice Box <br />..................... <br />............. ....... <br />No. Hours I.sbor .........................._.................Cost...._....................._... <br />. ....... ........... <br />Cut in ................... Pavcment....................X......._............... ........_.....Sq. Ft. <br />........ . <br />....................Y......._............... �� <br />....... _ ............... <br />. <br />.. . ............. .. ........................ ........................ �� <br />.... .............:X........................ �, <br />........................ <br />Total .._ ...................Bn. Ft. <br />� ----' ----_•'---_`__=_'-- <br />-_— <br />Rem a rks ......................................... <br />............... ........... ....................................... <br />................. _.. .. ............................... <br />.................. ................................................................. .................................. <br />OrderReceived ....................... ..................................... <br />..... ...._ ................. <br />�VorY. Completed....__ ................ .... � <br />_....... .. _ . _ . ............. .. . .. <br />Foreman <br />
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