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8828 EVERGREEN WAY 2016-01-01 MF Import
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8828 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/10/2017 1:39:30 PM
Creation date
2/10/2017 1:39:27 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
8828
Imported From Microfiche
Yes
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S J.PrirLc9M7.i67�i�1� � � . ... � ' �, <br /> W. D.Forn�J � ' � <br /> CITY OF EVERETT-.Water Dept. <br /> � � ;� ,— <br /> Application No.�././..:�....� ..._ Date......... ....... ...�....:.......:_.._!:....1�J...:.� %" <br /> - / Install.....__-.j�:;:..,......_.....inch water service pipe <br /> For _���. ,. , . , <br /> .....................:.......... .... <br /> � <br /> y...�,.�.::. ...::......:.:.....:..:..:.................................. <br /> On � � ' -- ' "y .% -- <br /> .......,'................:..........�. <br /> .._`:.....:...__'_....._..........::..:_. 1....�.... Street <br /> � .... . <br /> Lot............................................._ ; ' <br /> .........::.... Block Nol..--............................... <br /> ( Addition ...........__�,\..._........................ � <br /> . .................................... <br /> � ,Remarks ..............�...._......---.....:. <br /> ................._.........---...--�-� <br /> . ,' , -•l---------�-�--• <br /> .___ .,, . <br /> �; , , � <br /> � � <br /> �........... ...................................................._........_..............._. <br /> a � . ..............'--'--.. <br /> ��� ,��.. ... ..t_.l...r.. ............................:............."........................""'.............. <br /> b <br /> .... <br /> .Y .F... .... ......................�..............._..................... <br /> � We' , """...........l........................ <br /> � � . . :': ,-. � . <br /> �_' " '""....F7.. .:........1...::.r . . � . . <br /> � ...;....�........._..._................""'..........._ . <br /> .. . ....................... <br /> � %` �` ' �J � ���iSuperintendent <br /> � � '9 � � -- --...-_ <br /> � � LABOIL AIQD AI.9TEILIAL USED � <br /> --��N�- ..+ �Size ' —__—' <br /> �rt� ----- �_ <br /> ................................................._... I cad Connncticu Complete <br /> .............................................._...... Eadd]c Completc <br /> ......__.............f t.............._............ ............................................_....---..................Pipe <br /> : c......�......................... Service Cock <br /> ....... -� r i e� .:..:'�_...::............. �iervice Bos <br /> i..._f]"' r <br /> .................................................... <br /> .................................. <br /> ......................... <br /> - _ .............................. <br /> .. , . .................._.. <br /> .................�.:....��....._�:.;.... <br /> ..... .......................................................................... <br /> ✓ iCi � - ........._........._......... <br /> No. Hours Labor..............................................Cos1:............................ <br /> ....................... <br /> Cutin.........._...._.Pavement....................X..........._........... ........................Sq.Ft. <br /> ....................X........................ �, <br /> --..................... <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> - – iw_�:'– � i. – ; _ - -- <br /> , , ., <br /> Remarlcs...,,........_.-.,...:...........:::.._::...... . _ . <br /> r ............................................ .... <br /> ...................................................................................................................... <br /> ......._............_ ........................_......._...............__.,_.....:......:.. <br /> , ...................... <br /> Grder Received..................................................:.r:..:..:...i.l.�.�:::`...::�/ � <br /> , , ..��..... <br /> ��' - / ;,, <br /> ��'ork Cornpleted..:.�._�.....----_--:- <br /> ................................................................. <br /> Foreman <br />
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