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7210 BEVERLY LN 2016-01-01 MF Import
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7210 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/16/2017 6:40:45 PM
Creation date
1/23/2017 2:20:31 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
7210
Imported From Microfiche
Yes
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i <br />° .� /i.�3� � - � <br />w. o. �.oew a (. - ,}'; /l�' <br />CITY OF EVER.F:TT--Water Dept. <br />Application No..%.'{:�:^,� .... 7ate ................:.:�.._�.._�:_%:.........19...... <br />lnstall ...............................inch water service pipe <br />,„ C F , <br />or .................�.. . �......:.::.c..�.....t .......'.................................... <br />LOot .....................��_fl................_....... Slo k ?To...�.r.:............... Street <br />' -n-�:-. � . <br />. ................................... <br />Addition .... ............. <br />Remarks ................... <br />, <br />� <br />........._C. :..</:<l.(.. <br />�� ............................................................................................._._.�.� - <br />/�/� . . . ..... <br />-...�..........c".O/�i ........................................................._LS:.1..!:../.....5._S,.fS�C. <br />// _ / y _ 7 Z Superinlendenf <br />_ �,1fJl-' _ <br />LABOR AND MATERIAI, U9ED <br />icad Connection Complete <br />Saddle Complete <br />Servicc Cock <br />Se^�icc Box <br />No. Haucs Labor ..............................................1 <br />Cut in ....................Pavement....................X..... <br />....................X..... <br />.........Pipe <br />........................Sq. Ft. <br />........................ .� <br />........................ .� <br />....................X........................ �, <br />........................ <br />Total ...................._..Sq. Ft. <br />z--'- ----- <br />Remarks.............................................................................................. - <br />.... ...................................................................................................................... <br />OrderReccived._ ..........................._......................................_.........._...... - � I <br />\Vork Completed ................................................._.__........._....................._. <br />Fareman <br />
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