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710 N BROADWAY 2018-01-02 MF Import
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710 N BROADWAY 2018-01-02 MF Import
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Last modified
4/12/2022 3:29:02 PM
Creation date
1/24/2017 12:22:17 PM
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Template:
Address Document
Street Name
N BROADWAY
Street Number
710
Imported From Microfiche
Yes
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a J. PAI[EL p � <br />M. D. IORM 7 • ' <br />C TY � E�VERETT-.�Water Dept. <br />/ �, . <br />ApplicationNo.l.:��...C. Date....r''....."--......� �....---....19.�.� <br />..... . <br />7nstall..._?':: �-�.,"_._„_ .�ch water service pipe <br />ror..................._........................,....._................._.................._.......... <br />.. ......... ..Stnaet <br />On .........................��0..':.__::.i� ;,T�C .� T r, j 7 <br />. . . . ......... .. .. <br />Lat....................._�.i............_....� 1........... _ .. <br />._....... Blocl� No ..................................... <br />Adciition ................ <br />............................. ............................................................ <br />Acmnrks _-__---.- <br />r C ......................_..�.1-....`.!.. �..�v_�._� �..:,"'" <br />' , . ' '"""'.......... <br />� � � � . ' Superintendent <br />r LABOR AND MATEft1AL USF,D <br />Lead Connection Compleie <br />Saddle Complete <br />Service Cock <br />Service Hox <br />� <br />No. Hours Labor ......................................._.....Cer,t..................... <br />..... _ ....................... <br />Cut in .................._Pavement.......... ......X...---...... _. ........_Sq.Ft. <br />.. ...... .............. <br />................... X....... ................. ....... _ ........ ---.... . � <br />....................X........................ �� <br />.......... .............. <br />...................X........................ �. <br />........................ <br />Total ........................Sq. Ft. <br />— ----- <br />/, . , : , <br />Remarlts...., ...............: `. ....................: <br />................................................... .......... <br />� � <br />......................................1.............................................................. <br />OrderPeceived ..................................................................:.. <br />......................... <br />\Vock Completed..:.�..c:a.:: C.� .: ............ ::...._.._....... � , <br />.. .......... ............... � <br />` " _ _ Foreman <br />
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