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5208 FOBES RD LINE 5 2016-01-01 MF Import
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FOBES RD
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5208
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LINE 5
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5208 FOBES RD LINE 5 2016-01-01 MF Import
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Last modified
3/14/2017 7:43:40 AM
Creation date
2/11/2017 9:13:39 AM
Metadata
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Template:
Address Document
Street Name
FOBES RD
Street Number
5208
Tenant Name
LINE 5
Imported From Microfiche
Yes
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. _ ? 2O8 �, � <br /> ;. J. MI[,![ � �� . <br /> W. O. f011M ] • � <br /> CITY UF EVFRETT--Water Dept. <br /> Application No...1...��..� Date....._�...�.�. .. 19`'.� <br /> ....................... � <br /> . 7nsta ...;!.�._�. ' ch water service pipe <br /> For ..��..�,,t„�.E.t.��,,.,�,,.�� .....---•- <br /> .............--------• <br /> On .......... ..:.2...^......:.......:.._'?:..1....`I............�i-��Street <br /> Tot............................_................................ Block No............-----•----�-------•• <br /> Addition .......................................................................................................... <br /> Remarks ................... .............................................•--•----.............................-- <br /> ........--�...................�...... .......................---.....................---...---.._... <br /> �v ���..............---•�........_... <br /> ................................................. <br /> ................... ................ a-�..........--�---....... .. <br /> ... . .........-•�---..._.._... <br /> ^ ... <br /> .......V /... ...M. ...........' . ...i...........".'..... ........... <br /> Q.��........... Superin t � <br /> 8- /—LL <br /> LABOR AND MATERIAL IISED <br /> _Ivo. Size � — <br /> ...................................................... :,ead Connection Complete � <br /> ...................................................... Saddle Complete � <br /> ......................St._......................... ........................................................................Pipe <br /> .................................. _.....,........ Service Cock <br /> .................._............... .... .. ... 9ervice Boa . <br /> - . . . . . . <br /> No. Hours Labor.............................................Cost..........................._....................... <br /> Cutin....................Pavemm�t....................X........................ ........................Sq.Ft. ,. <br /> ....................X....................... .� <br /> ......._............... <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —--- -- <br /> Remarks........................................................................... <br /> ................................. <br /> ... ............................................................. ...................................................�--- <br /> ..............•--......................................................................................................----.. <br /> OrderReceiced............./.. �........./..................... .............................................. <br /> \Vork Completed.........l.a..r..f....�:....�..../. <br /> .............................................. <br /> Foreman <br /> �. <br />
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