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5017 CLAREMONT WAY 2016-01-01 MF Import
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5017 CLAREMONT WAY 2016-01-01 MF Import
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Last modified
1/26/2017 4:50:31 AM
Creation date
1/26/2017 4:49:44 AM
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Template:
Address Document
Street Name
CLAREMONT WAY
Street Number
5017
Imported From Microfiche
Yes
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e. �. vnicrt aH■ r ` � . . � <br /> w. o. .m�w � � <br /> CITY OF EVERETT--Water Dept. <br /> Appllcntion No.�:�'.,��.L�... Date....�..-.......k�.�.�....-...........18",a.c. <br /> :� Install..., '� �.f.f,'� inch water servlce pipe <br /> For ............�(.r?�z.[,....,'... 'py'`.1�...G........ ........ <br /> ...:.. .:... .... <br /> i % �:,� / T............... <br /> ...... <br /> On'.Z��..�..��.�......%�..f.-ftf...f,c:.;..�.r.�.�.._:.�'1/.5/1....^.. Street <br /> Lot.............................a.�..�..........._....... Block No........V................._....... <br /> �lddition .......................................................................................................... <br /> Remerks ......................._.......................---............................... <br /> ........................ <br /> .... ...... .. . ............................f}......................................................---............. <br /> �...... <br /> .... . �,.. �,,,,.�......_.(...................................................._..._... <br /> _........ . . <br /> .. yr <br /> ... <br /> ....... ...�. ... .,�/ .��... '..�.K.,....�......✓. ..... � .............................��..... <br /> W � <br /> _........... .......... .........�...... .......................:. ..,...::�,�.-.............__.. <br /> �f ' S�rintendent <br /> V <br /> � LABOR AND MATER[AL OBED �s <br /> __No. Size ___ <br /> ................ ............................. I.eed Cnnnectlon Complete <br /> ...................................................... Snddle Complete <br /> .............._3....St........�.................. ....(�•���I...�...................................................Pipe <br /> ..................1.......,.....f..��............. ServiceCoc4 <br /> ...................................................... 3ervice Ba� <br /> .....................1... .�..LY.4.�...G.wa� . ............................................................................................................... <br /> No. Houra Lsbor............................................ Coet.................................................... <br /> C�t In....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �. <br /> ......._............... <br /> ...................X........................ �� <br /> ......_............... <br /> ....................X........................ ........................ �. <br /> Toial .......................Sq.Fl. <br /> - � <br /> , <br /> Rcmarks...... .d-w. �. ' <br /> ....................... *:..� ..........,.....,.............................................. <br /> , <br /> � <br /> ........................................... .....!.�,,.::k..r.s:.......�.�.::�...__......_..................... <br /> ................................................�...ia.�.ti........................................................ <br /> OrderReceived............................................................................................... <br /> /✓.- <br /> Nork Completed._7..::...:�..5....:...G+...�:............�,...�....i.�..f c..:x.�_.............. j <br /> Foreman <br />
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