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5304 BEVERLY LN 2016-01-01 MF Import
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5304 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/10/2017 9:19:38 AM
Creation date
1/23/2017 1:59:43 PM
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Address Document
Street Name
BEVERLY LN
Street Number
5304
Imported From Microfiche
Yes
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w. o. ror w a /��� ,t�" <br />CI^l�'� OF EVERETT--Water Dept. <br />. ;.f �_ ,�/ <br />Applicaf,on No.......�..':...'.`_... Date.........:.:�.......� ........................19_4:�` <br />Install ...............................inch water service ptpe <br />For................................,..................,................... <br />.� . ... .................................... <br />7n .. �,`.t... '!:.���_..:...t:.f:1::_St�-;..1 �`�-•-:�.:�*.� �..../ .................... Street <br />L: •t ...... ............................................::...... Block No..................................... <br />Adiition............................................................ <br />............................................. <br />Remi�rks ................................................................ <br />Supertntendrnt <br />LABOIi AND MATERIAL U9ED <br />No. Size I <br />Lcad Connection Complete <br />Saddle Complete <br />......Pipe <br />Scrvice Cock <br />Servicc Box <br />......................... <br />No. Ho�ca L�bur ..............................................Cost................................................... <br />Cutin ....................Pavr�.nent....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />� �, <br />..................... ........................ ........................ <br />v �� <br />Total .... ...................Sq. Ft. <br />---'-'--�---- <br />-----=' _ <br />Rema rks ............................................................................................................. <br />OrderReceived ............................................................................................... <br />R+ork Completed ...................................................................._......._......._ .. I <br />Foreman <br />
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