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4813 FOREST DR 2016-01-01 MF Import
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4813 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 10:14:11 AM
Creation date
2/11/2017 10:14:06 AM
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Template:
Address Document
Street Name
FOREST DR
Street Number
4813
Imported From Microfiche
Yes
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5.7.P:ieba1M7�94/3S6 _ - � � <br /> w.u.eo�a G �� (�/ <br /> CITY OF EV�RETT--Water 1�ept. <br /> Application No..�.�...�..��?..!�'. Date...f.........................��:��(...19..-�.J'..-� <br /> � I �tall...........:_:�%�"' inch wa er service i e <br /> �,�--....... P P <br /> For ........._ul............. ._�:i:'.,�---.,�.a—G-��t -�t.�..... <br /> '/ -- ....-•r.�.-..-........._ -- ................. <br /> On ---�-----7...�.��...�.i......'1...-T'-�c:._r"::<'_....�0(Z!`�.::.'�:..�.�1�Street <br /> � R�i <br /> ..... <br /> Lot.................c�.:�. .�'� Blpck No........---- <br /> ._.........._---...._... <br /> Addition ......:�-. . !. ./!....:a.:... � _ � ...._..,........... <br /> n...n4., -d�J- l�. -�h-'�............_%:Jy:1,T--`::�:�'. <br /> ........ <br /> Remarks ........`.:�:t:.':'.:1._'-:� - � �. ,� • � c.� <br /> -.....::........•-•--............ ...�!..._...... <br /> ........._---• <br /> ...........................................................................................................�-�--............. <br /> /�:c._�...'y. �T� ....._--�- ..:.................-�------�---...----.......---............ <br /> ,� .... ..� ..... <br /> � <br /> =----.....1..• . ..... �.......-•--<.. <br /> �, <br /> � ,� - ��f.�_�................-�r�.......----.... <br /> , �j _ . . , <br /> .... � <br /> .. �... ..... .......�- � v�,� <br /> � . ................................................. . , , <br /> . ..........-------- <br /> .�r;;j Superinjendient <br /> �J , i <br /> �'Pjt LABOR AND MATERIAL IISED <br /> No. Size <br /> --- <br /> -�---������ � ���-���--���.................... Lcad Connection Complete <br /> ..........._.. ................._.................. Saddle Complete <br /> ........_.............ft............................1 .......................................................................Pine � <br /> .............................._..................... Servicc Cor.k <br /> ...................................................... Service Box <br /> ...... <br /> Ne. N.ours Labor..............................................Cost.................................................... <br /> Cutin....................Pavem�nt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ...._..............JC....................._� �� <br /> ........................ <br /> Tntal ........................Sq.Ft. <br /> ------_��' " — <br /> � , . <br /> �---------- <br /> Remarks...✓.�, , � r,., .., . . <br /> , ...............:...........:... � <br /> ...... ...:...................................... <br /> '7 . .'_:'............. <br /> i : , <br /> ............................_.._...., . � <br /> �..................................................:. � <br /> ...�,..:...>...._.. ..""""' <br /> %� t '� <br /> .................................."""'.................._........_........_,:...:.E....:.._:....."'...."'.........." <br /> Orde: Received.._..................... <br /> ..............�::................................................... <br /> p !' / / <br /> 1:%or4 Com letF�3 ..�....:.:.::.:...'...--:..;i......................................... --�- � � <br /> Foreman <br /> , <br />
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