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5209 BEVERLY LN 2016-01-01 MF Import
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5209 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/8/2017 6:26:09 PM
Creation date
1/23/2017 1:59:18 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
5209
Imported From Microfiche
Yes
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. _ ��/ ���� � - , � c , z �tr <br />w. �,. .o.w � <br />CITY OF EVERET�I'--Water Dept. <br />Apolication No. .��,.::�...:':l. Date............3.::.� .........................19.�`_� <br />Insttili .............................. .inch water service pipe <br />For ......................... ......�........................................... <br />.......................... ..:.. <br />On .....�>�-t': �_`(......��.`::: ..;, �_!� . - ,�-S../ .............. Street <br />.... . ........ . ..'`� .. .... � <br />�...... <br />r,,r - --- ............ Block No..........- ......................... <br />Addition ........................... <br />Rem•,rks ............................ <br />� <br />Supetintendent <br />LABOR AND MATERIAL USED <br />No. <br />— -- <br />......................... ........................._ :.md Connection Complete <br />................ .......... .......................... <br />. Saddle Complete <br />.......................it........................... .................................................... <br />.............................._...._.............. Service Cock <br />. _..._ ........ ...... Scrvicc Bez <br />No. Hours Labor ..............................................�osL.................................................... <br />Cutin ....................Pavement ...................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ �� <br />Total ........................59. Ft. <br />�T---'- ---- -- <br />Remarks.................. .............. ........................................................................... <br />....... ...................................................................................... <br />................................................. ........................................................................... � <br />OrderReceived ............................................................................................... <br />\Vork Completed ........................_........................... _....._........................... <br />Foreman <br />�•�� � � L'� l <br />
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