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1002 N BROADWAY 2016-01-01 MF Import
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1002 N BROADWAY 2016-01-01 MF Import
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Last modified
4/7/2017 2:32:01 PM
Creation date
1/24/2017 12:06:05 PM
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Template:
Address Document
Street Name
N BROADWAY
Street Number
1002
Imported From Microfiche
Yes
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t �. r��nt aw �e� �� O .. <br />w. o.`ra�w a '7� ' I'}. �'_:7 � <br />�% <br />CIT�Y OF EVERETT -Water Dept. <br />� .� ,.. ._ .- <br />Application No_�L,..:.....'..... / f ^ , <br />nate........�..:..:....:'.. _....... 19...... <br />^ � � ............. <br />. ..... ...... ' Jr�ctall .......:....... �. ......... .inch water servicc pipe <br />� <br />For.................�..:'.:.'.6....���..�.........._.._......................._........... <br />On .l � � �` � . . .. i r �' "' � <br />�I..r...., ................. .......... ............�..�._............... Str22t <br />I.OL ........................... • <br />.........................._....... Hfock NQ............ <br />Adciitiun, ..._ ................... <br />.................................... ' <br />...................................................................... <br />Re.marks ................ . <br />- <br />. , .................... <br />..... ........ ........................... ... <br />C - � '"� . .', ✓ /� ............... <br />_.._ ............._..................f.J.1...:_:..:C:.......:...;. � <br />�. . ......:...�.........1.........�.,�.::.2.:..::.. � / � � <br />..._/:ti.�� ...!.!...'..."...�'.......... <br />O...... ............................................................................ <br />.........� ................. � <br />... <br />....................................................... <br />� ..�.._�.......1........._ �, �-.._. ..._ ........:....... <br />No. <br />LABOR AND MATF.R/AL UBED <br />I,end ConnecNon Complete <br />Snddle Cnmplete <br />........ .. __ .........................................................Plpe <br />Scrvice Cock <br />Servlce Dox <br />No. Houra Labor .............................................C'oat..................................... <br />... ........... <br />ut in ....................PavemcnL..................X....................... <br />........................Sq. Ft. <br />.-�. .. ....................X........................ �. <br />......._ ............... <br />....................X....................... �� <br />...... .................. <br />....................X........................ �� <br />........ ............... <br />.-a.s. Totel ... ...............Sq. Fl. <br />Remark ......._...._................_..:L.c:..a........ <br />............................:.�.............. ....... <br />......... .................. _... <br />... ................................ <br />...................... .................................................................................... <br />Order P,eceived ................................................ <br />........................................... <br />\GurF: Cnmrleted...i..:...�` ......:.......... <br />.......... .... .... ......... .. <br />.................. ....... I <br />Foreman <br />r <br />
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