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2130 FAIRFAX AVE 2016-01-01 MF Import
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2130 FAIRFAX AVE 2016-01-01 MF Import
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Last modified
4/27/2017 1:10:37 PM
Creation date
2/10/2017 3:05:12 PM
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Template:
Address Document
Street Name
FAIRFAX AVE
Street Number
2130
Imported From Microfiche
Yes
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w. D.PlOFM ]'M /3352 �-- �T i E.: Yf <br />CITY OF EVERETT--�X�ater Dept. <br />� ,; ,. ,.. /,,/ <br />Application No........,..i.3..s�.�) �Date..._... .L�L....�...........19L/�'! <br />Install ........................... �..inch water service pipe <br />For...................... ...... ..... . <br />/p^.... .... ....................................... <br />. . ................ . .. . <br />On ._�--[�� l,t�, � „/' Street <br />� i.�a <br />...,.�... � .... , � .. .......... ............... <br />Lol........ .............. ....................... .... Block No.........---..................----... <br />Addition ..........._ �. <br />Remarks ................. <br />LABOR AN9 MATEP.IAL USED <br />_ No. ! Size I <br />ft <br />:.ead Connection Complete <br />Saddlr Complete <br />........... ............. <br />Servi::e Cock <br />Ser✓iee Box <br />No. Hours LaUor ..............................................Cost........... <br />Cut in ....................Pavemcnt....................X.................---.... <br />....................X........................ <br />....................X........................ <br />Superintendent <br />........Pipe <br />........................fiq. Ft. <br />......._ ............... �� <br />............._.....X..................... �� <br />... ........................ <br />Total ......._....... _ Sq. F't. <br />------ —_-----'----- <br />Rema rks ................................................................. .......... .............................. <br />� <br />Order!ieceived ..........................._..................._............ ..............._............._ <br />\Vork Completed .......................................... ................. ..................... <br />Foremar, <br />
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