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5106 COLBY AVE 2018-01-02 MF Import
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5106 COLBY AVE 2018-01-02 MF Import
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Last modified
4/14/2022 8:54:15 AM
Creation date
1/27/2017 4:03:03 PM
Metadata
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Template:
Address Document
Street Name
COLBY AVE
Street Number
5106
Imported From Microfiche
Yes
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I w�u'F wf �'�'7// V / V' • . , r.' 1_., r1 <br />. C�TY OF �VERETT--Water Dept. <br />;t -� , II y <br />Applicztion No...L.C�_�_�.. Date ...........................�...,/_�....._I9?:..~ <br />. Instald ................................inch watcr service pipe <br />i � '' i. <br />For` _:.:-�:. , -_1 �:.�'.: _:..:.: ....F_,..�.......... ................................_.. ---.......-- <br />On `r..l..w:.._s::..._�...�....: <br />_......._......._�.:_ ...:..:._:' ............................ Street <br />Lnt.. ......... .............._..........._...._ --- -... 3]oclk�No.....- -------.................. <br />,. <br />r.uc i.u:n .........._._..._...._....._ ......................................................................... <br />'i <br />, <br />r�ema.ks �.-- _._ . �. <br />..... .� I ......:~-�..a.....�.. . <br />........... . .......__ . ...........u.��� .. .............. <br />.... . ....... ............ ...... .......... ........_............. ................. <br />............................................................................................. <br />a <br />.._'--_ . .......................0.(�..........-._ � Sr crinle - "_-'_-' <br />. ......................'-- -' - <br />...... .. ... <br />,;��.;�,.... ... �.�...�..��.:: � :... .................�.:�..:.,::'.:._ .,�.. <br />.�...... <br />„ ;� �' p ndent <br />�-�1- ----- �. . l � <br />--� �A AND MATER[AL DSED <br />No. �. � � 3ss�� ` -- <br />--..___........._l.-.!�. .'.�-....� Lead Connection Complete <br />....._.__ ...............�_..... _ __.....i :>udd]eComplete <br />. ...... ... <br />..................._..ft„.......................... � ._..._......__.......................................................Pipe <br />`:o. :;ours Lc:bm ..............._........--.................Cost.......__. <br />Cuiin..........___..Pavem:'rt ....................X........._........... <br />.. X......... <br />Tutal <br />Rema•.•ks. <br />GrderP.eccivr_d__ .............._................_....................._.. • ' �_e.... • � � <br />,� 1 . . .� . ; � f�'.-_; ..L 1.�../ <br />.._ J i_ �., ,--.. .. <br />wcr4 Comnlcle3.....l.....�.a.......�....�.....:.....__.:-'... ...L.. <br />Foreman <br />
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