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8830 EVERGREEN WAY 2016-01-01 MF Import
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8830 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
2/10/2017 1:45:50 PM
Creation date
2/10/2017 1:45:06 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
8830
Imported From Microfiche
Yes
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/Ir�� <br /> 0. J. P91[tl[ 9M 81 �(�.l' .,I:�...• <br /> , W. O. IGRMB //���� � ._.. .. . Cf . <br /> � - CITY OF �VERETT--Water Deg�t. <br /> �--, � <br /> � -1 a , �, :, . . <br /> APPlication No....�.���._''..... Date........r..' .....................19..-._ <br /> � r <br /> 7nstall..........�_� inc�i water service pipe <br /> ; � , _�.. �, � _��ji�,"'" , <br /> -,; . <_ •.-__. .....�..:.. ..........�:----.......-------.............. <br /> ror .........-_......_.._...--�-••--• : �-: <br /> On ..............1:i:.:::.�a..-......:�...._7:l:�::.'�.._.'�......[:....�................... Street <br /> Lot.......:..........:...._.......--•-----.:......._....... Block No........_......_.._...__.....__ <br /> Addition ..................................................................... <br /> ...........................�--....... <br /> Remarks .............�1....._....__............__..................--•-----..._.............._......_ <br /> , , <br /> , � _. . i�. � , ir � <br /> �.�2.� .., .. . , . . � -� . <br /> , , �:•._t:•-::.......�....._a ...................__.. <br /> ........................................_....:_.......... <br /> ....__._-----........-...............................::.._...........--•------•- <br /> ...............................r-- <br /> /1_�:< ,�. . e,,, .._........--•-------•-----..._... <br /> ..... ............ ...................................�-��- <br /> M1................... •tl "� �'% <br /> � � t . : _ <br /> ...�..1.............'""".........:.......:..........._.....:................ <br /> i.,.�....-:r..... -1 j � : ScPerintendent <br /> .�,y..............^�.... . <br /> ! ' p � _.., r; � -- ' � <br /> � ' n L ^ OR eLND MATERIAI. IISED <br /> � <br /> 1Qo. S� ......`�\ -- <br /> - --I _. .„ <br /> .__���..,,.. .. Lend Connection Complete <br /> ............._..... . . <br /> ................... . ....... ::................. Saddle ComPlete <br /> ......................St._......_.............:'. ..............................._.......................................Pipe <br /> - ......................... Service Cocic <br /> ............................ <br /> ................................ Service Box <br /> No. Hours Labor..............._.........._.........._.....Co&t......._.............._.._....................... <br /> Cutin....................Pavement....................X......._._............ ...---..................Sq.Ft. <br /> ...................X..._....---'-'-.._... ..._---.._........... <br /> �� <br /> �, <br /> � ...................X........................ .......................- � <br /> ...................X........................ ........................ �� <br /> Totnl ..............._.......Sq.=t. <br /> �__� �_�,. ' _ <br /> Remarks....i�......r:..........s...:..._................................................................... <br /> � .._............... ...:...............::............ . <br /> ...................................................... <br /> ...... <br /> ......................................._.---......................--•---...................._......_.............---......... <br /> ! Order Peceived.................:................._..........................--............._................ � <br /> \ � ` � - <br /> \4orb: Cam leted. . -L�. ..........................._.. <br /> . <br /> p �.::-- - •---=--_j............................. <br /> P'oreman <br />
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