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5208 BEVERLY LN 2016-01-01 MF Import
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5208 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/8/2017 6:23:34 PM
Creation date
1/23/2017 1:59:06 PM
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Address Document
Street Name
BEVERLY LN
Street Number
5208
Imported From Microfiche
Yes
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� ^��J�f � . d- <br />w. o. ro�r o /C rj'! .i <br />CITY OF EVERETT--Water Dept. <br />, ,. <br />>._ �/ <br />Application No...:....:._'.."��.... Date ................'......�.......................19.Cy <br />Install ...............................inch water service pipe <br />For................................ . .................................. ..................... .. . . . <br />.. . ..... <br />. ... <br />��=2 C,S' -.. - <br />On .....:....:..................................-_?:��...,:.�.. aS-n:�.�.....---....... Street <br />Lot............................................................ Alock No,................................... <br />Addition ............... <br />....................................................................................... <br />Remarks ...................... - - - <br />...................................... ................................... ........................ ................... <br />Superintendent <br />LABOR AND 11fATER1AL U3ED <br />No. i Size I <br />Lcad Connection Complete <br />Saddle Complete <br />............Pipe <br />Service Cock <br />� ..........................�....... Servicc Bax <br />No. Hours Labor ..............................................Cast.................................................... <br />Cu� in ....................Pavement....................X............... <br />......... ......... _.............Eq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �, <br />........................ <br />....................X........................ �� <br />........................ <br />____ Tolal ........................Sq.I't. <br />-- ._ _. ___'__ <br />Remarks............ ............................. . <br />......... ................. _....................._........ ... <br />_ - ... .................._ _....................................... <br />OrderReceived .............................................................................................. ( <br />lVorkCompleted....._ ......................................_..... ._.... __....... ...._... <br />Forem:in <br />
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