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2915 BROADWAY 2016-01-01 MF Import
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2915 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 3:12:23 AM
Creation date
1/24/2017 3:11:26 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
2915
Imported From Microfiche
Yes
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_ _ _ _ <br /> '��' 4G8 - - <br /> w. o. ro� � <br /> CITY OF E\�ERETT--Water Dept. <br /> � <br /> Application No��,.�:.L-...Y.... Dat�......�i.,:S-l....:.�.:�.�.......i9.�� <br /> i <br /> 7nsta1l.........�................... .inch water seraice pipe <br /> For .................................................................................................................... <br /> On .......................r�..�.C./..J..f......./�.�x.r.�..ct.a�..c'�tf.t...... Street <br /> Lot.............................................................. Block No..--��---............................ <br /> Addition .......................................................................................................... <br /> Remarks ..............................---.....................................................----............. <br /> ...........................................................�----............................................................ <br /> ............................................................................................................................. <br /> . , .. /�l r�—t <br /> ��....._....n.........................lc:....:........................................ <br /> �, . . . �....................................... <br /> ( u r . /� <br /> , / .7Lc.:c�...7......_ .�i.:���C:. �4�'.'. <br /> ....__. ................_. _.............../,�. -r�r ... <br /> .,� �' y/ SdperintendettE <br /> � �/7 !, _ �/�, .�1,u i. _ <br /> LABOR AND Bi.ATERIAL USEd <br /> No. ' Size <br /> -- <br /> .................................................... Lead Conr,ection Complete <br />� ..................................................:.. Saddlc Completc <br /> .......................ft..............:............. ..............._......._...............................................Pipe <br /> ' ._................... Service Cock �.`.i�- .� . . <br /> .............M................ " <br /> ...................................................... Service HOR <br /> r �' • � �� ' � � - ' � � <br /> -�,. . <br /> ................L.............................:._.. ..........:........................ ':.:�._t_�....I:»�..................................................... <br /> i , � . . ,.� �, .. � <br /> .................�.................................... ._�..............:...:._...��:.....;...�a.......ti..................................................... <br /> �� ' �.�o��ours Labor..............................................Cosl.................................................... <br /> . :. .. Y',ut in_..................Pavemcnt....................X........................ ........................Sq.Ft. <br /> � ' �� <br /> ..t , .. <br /> _ ................... ........................ ......._............... <br /> �Y�� � .: , . � � � .r.[.t�...................X........................ .� <br /> ; � . ........................ <br /> q �t''` L. aa..-.._- X........................ ........................ �� <br /> � Total ........................Sq.Ft. <br /> ' -- <br /> Remarks..............:_.,�:.�!::.:r.:a..�.,.:�:.:�.::..:.:�...,.:,, ;......................_............. <br /> .......................................................................................................................... <br /> ......................................................................................................................�---... <br /> i � r , � <br /> OrderRemived......:..';�:..:....:.:................_t................................................._ <br /> Nork Campleted....::::.:�.h..�.1....C:._:_f'........................._................_......._/ <br /> Foteman <br />
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