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7215 BEVERLY LN 2016-01-01 MF Import
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7215 BEVERLY LN 2016-01-01 MF Import
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Last modified
5/16/2017 6:48:07 PM
Creation date
1/23/2017 2:20:40 PM
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Template:
Address Document
Street Name
BEVERLY LN
Street Number
7215
Imported From Microfiche
Yes
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J _ " <br />. /� .�8¢ _ <br />w. o. .o.� � �� - ,1 �':G <br />- � CITY OF EVLRETT--Water Dept. <br />Application No..�.%.Y::v.�.. Date ..............�:..�:.�_/�.............19...... <br />install ..........................__ .inch water service pipe <br />For.................................................................................................................... <br />_ a � <br />On ....................%,�./..5........... ��'i:':::�::.'r:4�....::5�'..:................ Street <br />Lot.............................................................. Block No..................................... <br />Adciition.......................................................................................................... <br />Remarks.....� ........... ................................................................................... .... <br />/ l/ � . <br />............................................................................................................................ <br />............................................................................................................................. <br />� ,(� , <br />............................................. .................... .......................... _ 1-llt=`�. � f::.7o�:� �... <br />Superintendedt � <br />�iI �:' <br />LABOR AND MATERIAL USED <br />.............i Lead Connection Complete <br />............. Sa�'dle Complcle <br />............. .......................................................................Pi��e <br />......... Scrv'cc Cock <br />............. Service Box <br />No. Aours Labor ............................. <br />Cut in ...................Pavement........... <br />........................Sq. Ft. <br />........................ �, <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ......................Sq. Ft. <br />— ----'-------------- <br />----- <br />F:em arlcs ............................................................................................................. <br />� <br />OrderReccived .............................................................................................. <br />\Vork Completed ......................................................................................._. <br />Foreman <br />
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