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6121 BEVERLY LN 2016-01-01 MF Import
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6121 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/11/2017 2:59:10 PM
Creation date
1/23/2017 2:08:07 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
6121
Imported From Microfiche
Yes
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M.�b. IOIIM•] ,/���/ • - + . y (1 <br />� f! p �// <br />CITY OF EVERETT--Water Dept. <br />R <br />% _ / <br />Application No.. _�:.:'. ��.. Date..........�°....:. '....../ ................_19..C; ,i <br />Install ...............................inch water service pipe <br />For.................................�........................................... <br />...................................... <br />C. �.�..-2 � ��c^ �c='>l; . . : =-G �.,,_. <br />....... ...................................... ............�.........S...r".......... Strect <br />� <br />:,a :.............................................................. Block I4o..................................... <br />Addition....................................................... <br />............................................ <br />Remurks.................................................... <br />;......, ,........... <br />, j�,�',_ — <br />_..... ....... _ c.� <br />................ ....:....... .............. .................................................... <br />��. , _ ............................ <br />� % 'J % � Superintend^nt <br />� LABOR AND MATEBIAL USF.D <br />—' No_ 1 Size - � — — —_ <br />......I Lead Conneclion Complete <br />...__� Soddle Complete <br />..................................................... Service Cock <br />..................................................... �;crt�ce Dox <br />...................................................... . ........... <br />No. Hours Lalwr .................. <br />Cut in ................_..F'�vement <br />............... <br />Sq. Ft. <br />' <br />......................._................... ......._............... ,� <br />...................�........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />.�_�— ------ Total ................ Sq.Ft. <br />-- — �_---- `_---------- <br />---- <br />Re m a r ks .................................................... <br />........ .......................................... <br />................................................................................. ............................. ............. <br />OrderReceived .................................... ........................................................ <br />\Vork Complcted ........................_............ ......._.......... __.........._................ I <br />Forem�n <br />
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