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2220 FAIRFAX AVE 2016-01-01 MF Import
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2220 FAIRFAX AVE 2016-01-01 MF Import
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Last modified
4/27/2017 4:09:17 PM
Creation date
2/10/2017 3:05:51 PM
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Template:
Address Document
Street Name
FAIRFAX AVE
Street Number
2220
Imported From Microfiche
Yes
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� __�� 5�-� ����� _ <br />� o;-.='i <br />w. o. .o�„ . <br />; <br />CITY OF EVERETT--Water Dept. <br />AppJication No..l''.:�.i.-`'.J Date.........,�:v=-:�._�.'.; ........19.�.'- <br />Install.........` :���1.. .inch water service pipe <br />For ... �. �. �..`�.....l....�----� '-� ;�.., r n{. -�., y J-------.......... <br />.. .............. .... ��. <br />�: y., / � % ., � <br />On ...... ��- Street <br />Lot....................................................._....... Block No..........._........------........... <br />Adciition.............................�---...--�-•--............................................................... <br />_ l . , <br />✓n-i� <-.� i'`-: , <br />P.emarks -`/--.._ ......:..:.:...:..................... �✓-�......-�---,-............_-- <br />.................. <br />�� <br />, <br />. ' <br /><r. a � .<.:._..:� .....................................�--.......... <br />.......... :................�.m..Gc.........CJ1...-.a. <br />//%:�/ <br />LABOR AND MATERIAL USED <br />...................................................... :.ead Connection Complete <br />...................................................... Saddle �omplete <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cut in ....................Pavett:ent....................X........................ ........................Sq. Ft. <br />c.�'�•��i`/.-�'.�;,.� ....................X........................ ........................ �� <br />:. . ' <br />- i ..... . ........._.........X ........................ ......................_ �� <br />v �� <br />Total ........................Sq. Ft. <br />-- - -- <br />'% r� , ��, _ , , <br />... . . . �� � ��.. ... ................................................... <br />Remar s ...........:....... <br />..... ..... ........... �. � <br />... � .....<t ...............:..i��:.....r.:._:.:..:........................................... <br />OrderReceived ................................................................. <br />\Vork Completed:_!..:�...'..:i ::....::..:.::......................1..:..._ . <br />Foreman <br />
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