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6533 BEVERLY LN 2016-01-01 MF Import
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6533 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/12/2017 11:54:09 AM
Creation date
1/23/2017 2:11:40 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
6533
Imported From Microfiche
Yes
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- / �/.�3- � ti� -.� � y � ,, <br />w. o, ro�w a <br />� � C1TY OF EV�;R�TT��-Water Dept. <br />_ _ <br />Application No..�..7..�.3.�?... Date.......:�.:.�...._.��'..`.� ...................19...... <br />lnstall ...............................inch water service pipe <br />For.............................:?.............../. �^ ............. <br />% -�.�i ,3 r.Le.,, � f - G->�a� .........................-. . Street <br />On... ............... ............... . .............................................................. <br />Lot.............................................................. BIocH: No..................................... <br />:lddition ................................................................................................. ... <br />Rcrnarks ................................................................... <br />................................... . <br />............................. <br />� ,, <br />3 .. . <br />/ ........ ./.,....... f:..: <br />��-Z-l{- %L <br />No. <br />LAROR `.�D MATERIAL <br />Lead Connection Complete <br />Saddlc Complelc <br />Scrvice Cock <br />Service Box <br />� <br />_...._...� ....._ ..................i .....---- <br />No. Hours Labor ..............................................Cost........ <br />Cutin ....................Favement...................X.................... <br />........................Sq. Ft. <br />......._ ............... .� <br />........................ �� <br />....................�........................ ........................ <br />Total ........................Sq. Ft. <br />-'--'- <br />Remarks............................................................. ............................................... <br />......................... <br />Order Receiced ...................... <br />\Vork Complr.ted .................. <br />.._. I <br />Foremar. <br />
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