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2222 W CASINO RD 2016-01-01 MF Import
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2222 W CASINO RD 2016-01-01 MF Import
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Last modified
1/25/2017 8:31:54 AM
Creation date
1/25/2017 8:31:51 AM
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Template:
Address Document
Street Name
W CASINO RD
Street Number
2222
Imported From Microfiche
Yes
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� _ , � <br /> :. o. .o:��G D 2 '�. . . <br /> CITY OF EV�:R.ETT--Water Dept. <br /> Application Nu.:'�s.`:.:':��.. Date..........!::...-��..-'i.:..........19�- � ' <br /> I�stall............................. .inch water service pipe <br /> - . • <br /> For _........._:c.:!_.c.:..�r..���..:cl.:C ...... ........`L�u� �...C..�../.?.:._:.:::..._1.... <br /> �'L :,-_ ��"•�.,.=(z.}J�..:J�7 �. Street <br /> n ................ ................................... . , <br /> ...... <br /> Lot ............................................................. Block No..................................... <br /> Adclition ......... ..................................................................... ........................ <br /> Remarks l ,�� ' ...e.a.�...-...."l_.iif..�........................... <br /> .......��A4 :...._LA.!' <br /> ............................................................................................................................ <br /> .) . <br /> . <br /> -.. ' -.: 1....f................................................................................... <br /> ...........:�..............:. :. <br /> ............................................................................................................................. <br /> z o _: <br /> - - , ._. . ._........... <br /> ................................................ <br /> ...........................................:::............ SuPerintendent <br /> s����m <br /> LABOR AND MATER(AL USED <br /> No. ' -- -- <br /> Size <br /> --- <br /> ......................................__......_.. LcoA Connecdon CotrPlete <br /> . 3�ddle Conp'.c:e <br /> .................................................._. <br /> .......................t6. ..........._..................................P1Pe <br /> ....................... ................_..... <br /> ............................................. <br /> ..,..... �crvicc Cock <br /> .......................... Service Boa <br /> .. .......... <br /> No. Houre L�bor................................ ............ oe ..................................... .. <br /> CutIn_.................PavemenL..................X........................ ....................._Sq.Ft. <br /> ....................X........................ ........................ <br /> �. <br /> ._................X........................ ....................._. <br /> �� <br /> ....................X....................... ........................ <br /> „ <br /> Totel ................._....Sq.Fl. <br /> Remarics........................................................................................................... <br /> ..................... ............................................................. .................................. <br /> ............................................. .............................................................................. <br /> OrderRecch•ed.. ........ ................................. ....................................... .. .... <br /> \Vork Completed....._...........................__.. . ...____.... . _..... .- � <br /> ........-...Faremnn <br />
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