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3523 BROADWAY 2016-01-01 MF Import
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3523 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 6:29:35 AM
Creation date
1/24/2017 6:26:55 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3523
Imported From Microfiche
Yes
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--� <br /> � <br /> . . � � « � ' • - � _ r; <br /> w. o. ro�r+ a <br /> C;ITY OF EVERETT--Water Dept. <br /> Application No../�-::.1;!..�. Date.........'./..:....�r..........._...............19.Y.:.` <br /> lnstall......_<:.:�.. _...........inch water service pipe <br /> +',, . , _-.�i.... ............._...... <br /> For .......................................�<....... <br /> ._.........................-..... <br /> O � . .:%'' x-s :'s.c ' i ' <br /> n-'..........�.J- . .....................«<..�._'..._'..'..r.:_c�..�.:.F..�s._* Street <br /> Lot....../...�.1....:...u?../.................................. Block No......J...._>..._...../....._.... <br /> Addition <br /> ....................................................`. <br /> ............................................. <br /> Remarka __.("_r�.:z........�C_ �r .. /. ... <br /> ..... ...:.......� . ..............................--•--................. <br /> ........... .................................. <br /> � � ��....r't...,�...............................................-----...... <br /> _.._........�..;..�.........._1.... ;�, � .r-��-..._........................_...............---- <br /> , , , , <br /> __..1..:..... _..�..........r:�ll:[�.............................................."'...^-...."""................... <br /> . :/�:......... .. .. ... .. ........;�:%.:_�..�..,:.�.._��....._..:_�... <br /> Superiniendent � <br /> �- �' l �/! r� <br /> LABOR AtiD MAI�ERIAI. USF.D <br /> No. Size <br /> ----- — — <br /> ...........................I.._.._.................... Lead Conneclion Complete <br /> ...................._... �......................... Snd�lle Complete <br /> ..............::...:..ft............................ ........................................................................PiPe <br /> ...................................................... Service Cock <br /> ..........._............. .......................... Service Dox <br /> No. Hou�s Labo-..............................................Cost.................................................... <br /> Cut in.................._Favement...__.............X........................ <br /> ......._...............Sq.Fl. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> .......................' <br /> ....................X........................ �� <br /> .................._.... <br /> Total .._.................._Sq.Ft. <br /> -- ---- <br /> Remarks......�'.'.....:...:....._.............................................................._-.............. <br /> ..... ......................::..........:............................................... .............. <br /> .._.......................::.....::.l..i.._�..�................................................_......_..._.........,. <br /> OrderReceiced............................................................................................... 1 <br /> 1Vark. Completed...:::................ :................................._..:.......................... .. I <br /> Foteman ! <br />
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