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7107 BEVERLY BLVD 2016-01-01 MF Import
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7107 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/16/2017 3:19:30 PM
Creation date
1/23/2017 1:25:41 PM
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Address Document
Street Name
BEVERLY BLVD
Street Number
7107
Imported From Microfiche
Yes
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W. D. I�]PY A ��� �� . /.�•� %l/ <br />-CITY OF EV�,k�.T`i'..Water Dept. <br />Applicacion No...'_:1:.%. :./ J3[� .............................................. <br />..I9...... <br />7nsta1l _ ........ .... ........ ... .inch water service pipe <br />For. ...................... <br />... .......................................... . <br />' , . ...._ .............................. . . . <br />... <br />On .....1 /:.'.j.......!':..;..r.:. � :........,.'�':.. <br />._�_ ..:........................ Street <br />Lot................................_......................... Block No.................................... <br />Adilition .................................. <br />.............. ................. ............................ <br />........ <br />_ , <br />emar s ........�t.:..,...._....:_<__;`�...•- <br />.... _ .... ............. -- <br />......................... <br />........... ..... <br />....................................... <br />................................................................................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />---N�---L- S�ze I <br />7-____ <br />-� �--.I Lead Connection Complet <br />.......................... ...................._.....' Saddlc Complatc <br />....................... f t. ................ . <br />.......... ...._ . . ....................._Pipc <br />. . ..................................... . <br />........................... _........... ._ ......... Serv;cc Cock <br />........................... Se:vicc Box <br />.....�.�_....._�...........I......_�.._�......_...�...� .........�� ..................................................................................................... <br />......._ ..............._i .....__..... <br />No. N.ours Labor.__ ........................._... �� <br />. ..........Cust ............................................ <br />Cut in._.__.......... . ...... <br />. Pavcmm�L........._........X ....................... <br />................._.....Sq. Ft. <br />....................X....................... „ <br />.............. ......... <br />.........._........X ........................ .� <br />........................ <br />....................}:....................... �� <br />- -----' ----- ----_ - Total ....Sq. Fl. <br />Reroarks..... —�---- <br />,_y.. ; _._ ............................ <br />�..,...... ...........:............. <br />�,� � .. ', ; . ............................. <br />' , <br />. ._ .............................. �...........:' ' . . . �- <br />: � � � <br />.....f..'.... �..L..: ' �"- � <br />........� ............................ .......... <br />_ _ .... .......... ............................ <br />Order Receiced .. ............. <br />\Vor6: ,^.omi�l�ted__. ..... <br />� <br />................................ ..... ........................ <br />_......._.......... _..... / <br />___ ..... <br />_.....__ .. ...... <br />__. <br />F'oreman <br />
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