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903 BROADWAY 2016-01-01 MF Import
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903 BROADWAY 2016-01-01 MF Import
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Last modified
5/19/2017 9:12:06 PM
Creation date
1/24/2017 10:55:41 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
903
Imported From Microfiche
Yes
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P. o PRI[AE.� � L � � �. ' l .,� � ^' C� <br />W. O. fORM ] � <br />CITY OF EVERETT--Water Dept. � <br />. _, <br />� � . . Date ......:......:.... ::...:......:...:/./. .....19..._. <br />Application No ..........:.. _ .. .... � <br />l lnstall.... �.....:_'........._,..:..inch water service pipe <br />v � <br />�'..: "' ... . , � f� _- ' �� t_........ <br />r�� ..,_ ............................................ <br />...:.:..:: ..........:.: .. . <br />............: <br />p,l li.,.�:......... .A.�-z'-�� ............ . . Street <br />- - - ..._ <br />... .............. <br />........ - , <br />� -� .............................. Block No......�! .` �.••----...----�-- <br />LOI...�.�...._:::...1.......... . . , / ; . <br />. . . _ . � .-. ., , <br />Adtlition� ,.:......_ :...:..:.......:..'.....................:....:............................ <br />?�,emarks .... ...:. .... .....................................-_... .'..^.._:'..-. _•-:......... <br />......... y�.... , �--� -.:...: <br />, ,. <br />, � ; -_ <br />LAROR ANP TIATERIAL USED <br />� <br />No. Hours Labor...... <br />Cnt in.....__..._......Fav <br />�,, c o,.r, <br />� .<<.�_�, <br />Lead i:onnection Complete <br />: �ddlc Completc <br />.. L..C!.1�.Ia.t.t..._ .............._.............._..........Pipe <br />Servi�e �ock <br />Scrvice IIox <br />.......................................... _............................... _ .... <br />Total <br />.. <br />Order: ecciced.._._ ....................................................................................... <br />,_ . � J � 1 . ,, <br />... .....]... i_ S.. 5:.1 :::................... <br />\�im}: Complc,cd..=::.:....%.:�.:.::l..j .................. Fareman <br />�� <br />
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