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9411 EVERGREEN WAY 2016-01-01 MF Import
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9411 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/19/2017 12:09:44 PM
Creation date
2/10/2017 2:18:17 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
9411
Imported From Microfiche
Yes
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;� <br />��008 , <br />W. �. r��'�CITY OF EVEREI"I'--Water Dept. <br />/'i'!f l" ^' r /c :...............1�IG_:.7 <br />. Date..........� ..::::.............. <br />Application No.� ...........:.... ..... <br />, <br />Install ........................ ..... .incn water service pipe <br />�` jl;r.� 1� 1_. ,;,r:r."1.;.......::�+• ................................... <br />...:...::............... _:�;:,:.:.... <br />For .................. „ �. <br />� , ,. ���".�.,. Street <br />./ - � .:t� :..............�.... <br />// -i f.«.-�,..:.i �.'l.�r.s..._6r::.. <br />QIl ..✓....:`f .............. .. /�......' . . ' <br />. . . - - :...._�.:...:;'Block No ..................................... <br />Addition .................................... <br />..................................... <br />�,'�. ; � .................. <br />Remarks ........�-....�2,.1�:�� ............. <br />� ...:...:................... . _ <br />; :_ <br />� ` . . <br />� `. � � <br />� <br />� <br />Superintendent <br />__ —'—_�-- <br />LABOR AND MATERIAL USED <br />No. �ue ij�' — <br />.................... <br />.�- .................I :,ead Connection Complete <br />..................................................... � S2ddle ComPlete <br />. . . ..................... ............................................PiPe <br />ft.................. ......... . . . <br />....................... � <br />........................... . <br />.........._ .............. Sr.rvice Cor k <br />. __ Secvice Bax <br />� <br />� <br />......... <br />..--_ <br />No. Hours Laber .............................................. ........................59. Ft. <br />Cut in ....................Pavement....................X........................ �� <br />....................X........................ ........................ <br />....................X........................ ........................ <br />,� <br />....................X........................ <br />........................ �� <br />OrderP.eceived ..................................................................................... ....... <br />................................. ... <br />\Vork Completed ....................................................... Foi^man <br />� <br />� <br />
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