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3518 BROADWAY 2016-01-01 MF Import
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3518 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 6:20:55 AM
Creation date
1/24/2017 6:20:32 AM
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Address Document
Street Name
BROADWAY
Street Number
3518
Imported From Microfiche
Yes
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4 1 <br /> � <br /> � <br /> � <br /> .- ,�6, !Go - - ;, � �:, , <br /> w, o. ro�w a / I <br /> CITY OF EVERETT--Water Dept. ', <br /> Application No�_�:.. ./..t�. _L� Date..........>........:��_............]9_�j� <br /> �- . <br /> Tnstall.... �� tnch watcr service pipe <br /> , ��---.....� <br /> i . , - - <br /> For ..--.._:.Z.�...L..�.r.:S<.:: ,/: -t_,c ,; . � <br /> ....._. .. .....................----............ <br /> On ............................:._;�..l...J......---..f:�..z.r.s.Gt...ts..c.��,C<.../_ Street � <br /> Lot.................................... ............_--._.... Block No........_.---------�---........... <br /> Addition .._............................--- ......_ ._.:...................................._........... <br /> � L <br /> R��marks ii.�::::'s�.�.::.c.�r t::f.�........:..:.::.�:x.:.�......................._......... <br /> G <br /> ..._......__......._'...........................................__ . <br /> l � � I .� �............................................""" <br /> .......__................�...._..._..L...l::..........�-�.......�..........._................._"'..........._.... <br /> � <br /> l � _.`., .A,,.t...(..�_.[_.t:,._.. �--- <br /> .....�__-..:.... . __............. . � . / ��.,��.�- <br /> ; .�,,�'.�.................... ', <br /> ........_. ......_.....::...'............................... <br /> �� ��/� �� �� �u rinten nt . i <br /> .i` _.,��./I [G�Z.� <br /> LABOR AND MATER[AL Sf•'D <br /> No. j Size � - <br /> ----........_--�--- � <br /> ................. ...........................I Lead Connection Complete <br /> ..................................................... Saddle Complete <br /> ................Z...St....3�({............... .._C...f././.t o-.[..............._.._........ . . . _... .. .YiPe <br /> .............._......� '�C/.............. Sr.rvfC�ck <br /> .......................�._........................ Service Boz <br /> ._............................... . ..._........... ............_.............................._..........................._.........._.....-----............... <br /> I ......................_... .......................... ......................................._........................................................................ <br /> No. tiours Labor..............................................Cost..........................._.....................-- <br /> Cutin....................Paventent....._..............X........................ ........................Sq.Ft. <br /> jC� ��.<c.��f� ....................X........................ ......._............... �� <br /> ....................X........................ �� <br /> -...................... <br /> ....................X........................ �� <br /> ........................ <br /> Total ......................._Sq.Ft. <br /> —'-- — - ��— -- <br /> Remarks......... __.:. .y.�,.... 2 �.� 1................................................................ <br /> � • <br /> _.............._..... .-.�f.,...�.�,_..,-�.....,�..... ..... ................................. <br /> ...........................7:.�,:Y�c.�........_...... ........................................................... <br /> OrderRecei��ed............................................................../.......................... <br /> \Vork Completed,3.."..2.`,C..L�:..`/..............✓_����C..�zu-r ............. _ 1 <br /> Foreman <br />
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