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9509 EVERGREEN WAY 2016-01-01 MF Import
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9509 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/19/2017 11:51:53 AM
Creation date
2/10/2017 2:22:49 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
9509
Imported From Microfiche
Yes
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e <br />. ;��'77�- - �.� �r��- �- <br />w. o. ro a <br />' 'CITY OF EVF;RE7T--Water Dept. <br />Application No.1. `t...�.1.��..�� Date ..................._5........I........---....19..�:. J <br />� , Install ...........J. `................ .ipch water service pipe <br />Far ...::4........�1,......... ��::k:.....:�!.:r.'...�..�.�..�:� .........................................- <br />i 1 �� � E!/EC' g�r'C!� � i4�y <br />On ......... �.._t...�%..:/.....r..... `��. �:."'T�.-:'._" : ....d.......,.:........:.�...... Street <br />Lot.......... ...........................................`l Block DTo............---...........--•........ <br />Ad�lition ..................................................................................................... <br />/ �_- <br />Remarks ..................._........f.::�.�.i...t.:.r..:...i.:! s�.^.-i.�:.......----......---......... <br />........... ............�................................................................................................. <br />(�.C............3......�-�...�.....U_�.... f.�.�..� .......................................................... <br />' � � - � � �, <br />............... 3 G>.....L..�.,:. -a� ...................................................-- -.....--•�------.. <br />z�.:-..�-.-..�... -- ....................................................... <br />.y .......................................... Superintend^nt <br />No. <br />No. Hom�s 7.a <br />Cut in .............. <br />LABC�R AND MATERIAL USED <br />:.ead Connection Complete <br />Saddle Campletc <br />....... ........................................... <br />Service Cock <br />Scr�ice Box <br />........................Sq. Ft. <br />........................ �� <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />Total ........................Sq. Ft. <br />— -------- <br />Remarksd�.. i . . :....: ........................................................................................... <br />/ ' ° <br />,. <br />� r� <br />._.. . ........................... <br />... .............. ...�..................�........_............................................ . <br />,_ � ., f <br />�" i , <br />. <br />......... ..............i<....................i.......................................................................... <br />OrderRecei�•ed ........................................ .................................................... <br />\Vork Completed ................._............................_......................................... <br />Foreman <br />
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