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6904 BEVERLY LN 2016-01-01 MF Import
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6904 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/12/2017 5:24:35 PM
Creation date
1/23/2017 2:14:56 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
6904
Imported From Microfiche
Yes
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. o�Z 3,3 � _ � <br />w. o. rosr a �. -/�/�_-� <br />��'� C( i'Y OF EVERETT--Water Dept. <br />ApplicationNo..,..I.:�..:'."'.... Date .............�..:..�..../,..�............19...... <br />7nstall ...............................inch water service pipe <br />For................................................................................................................... <br />On ..........................L�.12.�.......�:�:.:r..:.:...;.l::,r.....��a.�.:.......... Street <br />Lat .............................................................. 131ock�No..................................... <br />Addition.......................................................................................................... <br />Remarks.........� ........................................................................................... <br />-� <br />..............1. <:. �� c: :..."........................................................................................-- <br />.. . . . ... . . ... . . .. <br />.................... .... ..... . ... .. .. .. . . .. .. .. . . ... .... ..... . .............. <br />/ ........._Gl�.f .' .......................................................... .. i <br />�t <br />// _ ,��� —� ;% �— . <br />No. I E;ze <br />LABOR AND MATERIAL IISED <br />Lead Connection Camplete <br />Saddle Complete <br />Scrvicc Cock <br />Servtce Box <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ................... Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />......._ ............. . <br />....................X........................ �� <br />........... ............. <br />....................X........................ ,� <br />........................ <br />Total . .....................Sq. Ft. <br />—� —'-------- — — — <br />Remarks ......................................... ................................................................... <br />OrderReceived ............................................................................................... <br />\Vork Completed ................. .................... ........ __ ............................... .... I <br />Foreman <br />
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