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4721 BLACK FOREST LN 2016-01-01 MF Import
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4721 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:03:09 AM
Creation date
1/30/2017 7:02:57 AM
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Address Document
Street Name
BLACK FOREST LN
Street Number
4721
Imported From Microfiche
Yes
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9. J. PRIEBF���� � -/ . . ���f"� <br /> ,W. O. ipqM 3 ` <br /> CITY OF EVERETT--Water Dept. <br /> 1/ :a _ . 4_-C'_ <br /> Applicac:on N���::�7.:".��... Date.._....��-/-.::�..�_..................19...'� <-� <br /> `�J Iastall....-�.'��. � i..........�.inch water service pipe <br /> For ..... -�✓l/_a:S.!�'4{,�-,��,,�,._.. -�i�i��:<� -� - <br /> On .....f-f_'-T.1.....;�_L,.LC,,...�:�,u..---��r_r.�--�._.Ct�'...�Street <br /> Lot --- - - . .. Block No. -....- - --�--- .....-- <br /> Additlon .__._..---------------.____...----------'--------------"--'------------------- <br /> �-'7 <br /> T'emarks _�------'-�4'�1..t1-=---F:_r2�(.fn,lr.:l.L.�=----------------....----....... <br /> ._ . ..... .. . . . <br /> y /��-°- ( <br /> .^ �, '�� $� .. �tr - - 1_ �"ry-„''�-(,�'�1 ........ _... <br /> � �g i <br /> _ . , <br /> ` � 1c��� �� � �� C�P � '� •......._ <br /> r.+�>.. _. t . .- - - , <br /> .. � ,1 . � � .r�.. ._ �� per .. ndent_._ <br /> r , �' "S. '^ 7_ /�-67 �1�. _ / . <br /> LABOR AND MATERIAL USED <br /> No. I Size <br /> _—.__ — ._....— —_.— <br /> .__._............._._....._......... .i Lead Connection Complete <br /> . ______........................._____..... Saddle Complete <br /> ...._.____o�....ft....._��y...___... _..'`_.<.te�.::<..::__.......____......,..__.__......Pipe <br /> ....__....___.�........��4.l....___._ Serdice�Coc§ <br /> ._......_...._-_..�_......._....._.____ Scrvice Box <br /> No. Aours Labor._.._...._._____..___.........._._Cost__._..____.._..._...........__.._....... <br /> Cirt in.___.._..___Pavemc�t.__._..._.......X__._.._....._..__ ._.............__._.Sq.Ft. <br /> ' ,,.:".-c r/ <br /> 3/. �/h:: �....................... .......... ......... �� <br /> /' <br /> ...................X...__.._.............. t� <br /> ....... ............. <br /> ....... .......X.. u <br /> ................. ........................ <br /> —____ ____._.____..._._____._..._ <br /> Total .._................._.Sq.Ft. <br /> - <br /> Pein2rir�.._....._....._......-�------....._.._�_�- a<.t_..��ri.ir. . . <br /> ... _ _._.._. <br /> 5 <br /> ._...__-_. - __._._____ _ _ '...__i � F u.)...< tC. /._ .__"... <br /> � :i � <br /> .. ..___________-___-_-_____......._"....'""'"J"""""'""''_"_.........'_'_"__"_.__.....'"_ <br /> . �)PGE' i'.l'.C2RF� _. .... _ _'_- _ . � <br /> �+m}� Compleed �:: - J:_� --- .... � �.��r:_' _rc .... __ <br /> Foreman <br />
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