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4701 FOREST DR 2016-01-01 MF Import
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4701 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 9:56:59 AM
Creation date
2/11/2017 9:56:53 AM
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Address Document
Street Name
FOREST DR
Street Number
4701
Imported From Microfiche
Yes
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a.�:��i�r.i a�-� V � ��' � GI �C� �� <br /> w. 0. roGM �� � <br /> CITY OF EVERET�"--Water Dept. <br /> AppHcationNo..,�.��.�.�.. Date.....�.(.�..._r.Y...../._�._.._.....19_�,v <br /> � ,, Install......�i, y �% .inch�ater service pipe <br /> . �_. .......... <br /> For ..........._...�"(Jv�f.���..t.t-t�........................._. <br /> ..__...__ <br /> Gn .............`�..�.�.�.......� . . ���......._........_........_.._... Street <br /> �.�........ <br /> Lot..................../...�7r...�......_........_/�. .-••_:--.BIock No........_••5..•-.._.._.__....._ <br /> Addition ........�� L7..� ' �-�� �- . <br /> ....................... . ..................................................... <br /> . � <br /> Remarks ..................�L�.:��.!..__.��.��1..�.. ::-4::5.�!.:�S.�B�.:....._........ <br /> ..............................:....._..._............................-----•------.........................._....___.......•- <br /> ...............:::.......:............................................•-�-----.._._....._............._.............._... <br /> ,. � �f <br /> ........... r.)�...........---;'-�-C----....---......._....�;/r......y..�........ _.......,.._.._... <br /> ...�.:.�._.1U1,._i`.'�....!.`.�...._.i............_.. {t} � . �tia,..�—.... <br /> .....--- •-- •--....._...�.. .._...... . <br /> �� . �!"pi . � �/g�u,P�'intendeat <br /> rtrj! ' ` ."� i'Vl'.A�1 " �P(.ti�-c,c.-` <br /> `�' R AND MATERiAi. IISED '�L�^ <br /> No. Size � <br /> ..........................._......................... Lead Connection Co�plete <br /> � ..............._.._.._.........,................... S�ddlc Complete <br /> ......................1t._......................... ..............................---.......................................Pipe <br /> ............'-'....................................... Setvice Cock <br /> .........._.......................................... Service Hox <br /> No. Houra Labor..........................._.................Cost..._.................._.._....................... <br /> Cutin....................Pavement....................X..._.._............... ..................._...Sq.Ft. <br /> ...................X..._......_.._.._... �� <br /> ..._._.........._... <br /> .............X.............._. .. <br /> ...... ...... ........................ <br /> ...................X........................ �. <br /> ........................ <br /> Total ......._.._.._.......Sq.Ft. <br /> Remarks...... . , . . .— . >. ..c. . —_ <br /> .............••-��-•---.......................................................................,....... <br /> � 1 <br /> ....-•....................................................�-�---............................................._.......�.... <br /> ; <br /> ..........................�----........_.................-•-•-----............�..........:.........-•--•�-----...---.._...... <br /> Order Peceived.........:...................f---••-----�=-.�............:..----------........._....... <br /> / <br /> �4 orl� Completed..�::...�_✓....:..1..�::.i._.............................................-�-- <br /> Foreman <br /> �=1 <br />
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