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1601 BROADWAY 2016-01-01 MF Import
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1601 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 8:55:30 PM
Creation date
1/23/2017 8:54:09 PM
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Address Document
Street Name
BROADWAY
Street Number
1601
Imported From Microfiche
Yes
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S y IRI�b[ ]M p0 3 7 5 . _ ,�, . <br /> /� 1 <br /> Mi. O. rONN ] � <br /> CITY OF EVERETT VZ'ater Dept. <br /> � � -� � ;� - - ,- <br /> Application No.........:::..._(...:: Da,te�...._...._._.r�_4:::_...:.::.:__....19:�.?.'? <br /> Install......._...:l.`�..�.....inch water service pipe <br /> For ..........._...._._......_............._-...rs..--........................................_.. <br /> On ..................../..l°...4?_.l._.._..�..�. '�...�.. . .3.<..........l. <br /> ...7........... <br /> Street <br /> Lot...--•..............................................._.._.. Block No........::..._.__.-••--...._.._ <br /> Addition ..................................... <br /> ................................_...........----..........---...... <br /> _ e , 1 <br /> .temarl.s .........�-�:.7:r.�..:.:......L � f':.r. � ' <br /> r _.. _ <br /> ........... ..""""� -.....4:....""'"......... <br /> ..............._...................�..F.T..tL.........���:..�.14:t....3�1.....//._.._..__. <br /> i <br /> ......:.............................�............._........_.............---....------............................_.._... <br /> ��' - <br /> ...- -.............�.1�..�.........................--�----�------�---�-�-----�: �:�_.....�.:;. <br /> � <br /> . ... ....:...............L'<::........._.........._...................._. .:. . G'.. �t.._ . <br /> .. ""_..""'".....:...._............�... . � <br /> �:�I��a� Superintendent <br /> — .� <br /> LABOR RZVD 1VfATERIAL D3ED <br /> _ No. Size � <br /> _......._.._.._........_......................... Lcad Connection Complete <br /> .......................-'............................ �addle Complete <br /> .................�...ft_...::'�.::........_..... ........_.........._...... ..........................................Pipc <br /> ....................:...............:._.............. Scrvice Cock <br /> .................._.................................. Service IIox <br /> ............................._............._.............._...............................--- <br /> ............_.............�......................... ..............................................................._..........---• <br /> No. Hours Labor..............................................Cost..........................._...................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> ...................X..........._.._.._... �� <br /> ..._.._......_....... <br /> ....................X..............._. ,� <br /> ...... ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> Total .......................Cq.Ft. <br /> --------- <br /> Remarks............................:.......:..:.:.:.....r:...::..:.:.......... .........:.:........ ....1..... <br /> ............................................_.................._::.....:..,.._...._.................................... <br /> ........................................................................................................•----................. <br /> OrderReceived................................................................................................ <br /> \Vork Com�;letcd..._...:....:.:...............:...................:...::.......::..:.... ..:Z............. <br /> ForemTn I <br />
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