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5815 BEVERLY LN 2016-01-01 MF Import
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5815 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/10/2017 2:34:21 PM
Creation date
1/23/2017 2:04:29 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
5815
Imported From Microfiche
Yes
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_- .-/G.r�� . ' _ �� <br />w. o. roeH : `� - ' � <br />CITY OF EVERETT--Water Dept. <br />App�icatian No.. J�..S_�� l Date...........�.... � ........................19.�:.�� <br />Install ...............................inch water service pipe <br />For....................._....... ... . .............�.)................................Street <br />. � G <br />On ......:...�2..�L.S ..... .....:.... �_4..L%1. ��-rs1......-.r........... . <br />J...., u ..... . <br />Lot.............................................................. Block No..................................... <br />Addition....................................................................... <br />.................................. <br />Remarks................................................................. <br />3 . ..::r ...................... <br />�� ��U� <br />. . ...... ..........�. ` ......... ................................................................................ <br />� �- Su erintendent <br />�... , P <br />LABOR ATD MATERIAL USED <br />:.ead Connectlon Complete <br />Saddle Complele <br />...................................................... Service Cock <br />..................................................... Service Box <br />No. Hours Labor ..............................................Cost..._ _........................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />..... ._ ............... <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />^—.' --.� <br />Total ........................Sq. Ft. <br />Remarks..................................................................................................— - <br />.............................................................................................................................. <br />OrderReceiced ............................................................................................... <br />\Vork Completed ...................... ............................ . ........ ........._ .............. _ I <br />Foreman <br />
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