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4902 FOREST DR 2016-01-01 MF Import
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4902 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 10:15:43 AM
Creation date
2/11/2017 10:15:33 AM
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Address Document
Street Name
FOREST DR
Street Number
4902
Imported From Microfiche
Yes
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W.D.Forin 7 ]000 5-1.IB ' <br /> CiTY OF EVERETT•..-Water Dept. <br /> Application No.._q05../..... Date.........._�'/. !� <br /> _ ....._....__1�_. <br /> � n Install__.._..� ".._._ inch watcr scrvice pipe <br /> For ..___c._.:=�-�Sr._,...� � <br /> ._.... _ ....__ ._ ...._. . ....___ <br /> On....__...__.._....`.�90� ` � r ,._!n <br /> . . ......----...... . ...... ..Street <br /> . . ......_..--- <br /> Loc.........._.......... ....... lock No. <br /> 9............ <br /> _...... . .._._._ _...___.............._. <br /> Addition <br /> _ _.. ..._........._......._...._...__....._ ._........._..__.._...__..._._... ....._...___.._. <br /> Rematks.... ____ <br /> _.._....._. . ... ._ _. ..._ ___.. ._ . -._....._.. <br /> __ ... ..........._..........-- ...._......_ ...._.........._ - ........ _.._. ___..__ _._ _.........._....... <br /> _ ._.... ..__._ ......___ ..__ ......._...._ ........_....... _ ._ ...._...._.... .............._ __....._.. <br /> ....___ .__._... ..............__............._..___. . __.._..........- ............._._ . _._............... <br /> C'<.�-...�ZCP�..a�o�:i��c,�t/ <br /> ---- -- —:_-- =- =___=_-_--__-__ —___ --_____--___- <br /> LAI30R AND MATERIAL UgED <br /> -_' No. Size _'_�-__—'__—_—'____'—.-- <br /> — . �. . j,-__.__.. _- ._-___--_-.- . <br /> , . ..._____._ .___ ______ <br /> __._ <br /> �� - -.�........ ..��.f. ...Q�Le�d Connection Complcre <br /> " '-"._ �-::. . ' Saddle Cqmple[e -_ <br /> 37..._r� ��r' ".L�t-�� __...._ _.. ......r��� <br /> � ..-. <br /> �� � r Service Cock ,/ <br /> _. (� ���(� O � <br /> _ � ... t'm �ceG Rv�e`°Rox r-aYcnzoc..0 <br /> _ L._ �!'{'.�... �7�r,! �L/'7.fli�Yi . <br /> �. y 2��� l!':.CL.<�r£ ..._. . .. ....... _. <br /> . .. ...... ..... _ .... <br /> � 3 � �t� ' ..-._/ 3/y �� a J ' � I . <br /> ... <br /> 2 �i k ... . J . . .�- 5�- ,a-. . 4� cfQC�l <br /> .. . .. Y . lS/ y��jil.cr . <br /> . .. ___. .. ......... <br /> . . - _ . ._._.... <br /> - .__ �.- . _ . .. . — ' _�_.. <br /> No. Hours Lnb�rc — � -- <br /> �. __ ..._..Cost... . .�...._..... <br /> .............._...._... ....... <br /> Cut in __ Pavcmen[_. X - <br /> . _..._..... ._ ...._"_........... <br /> .__........._ ...... ................_...._on. t. <br /> ...._X..._............._. �� <br /> . .__. . .. ......_._....__.... <br /> ......................_X....._._........._...._ �� <br /> ___............._... <br /> __. ...............X... .. <br /> .. .. ._ .._.... _._. . <br /> Total . .. ............._._Sq. Ft. <br /> __.. . . _� . . .. _ , ,-.:, <br /> -._.- ._ .._ <br /> _ — _:_ <br /> Remarks �J��C�}` �cY7I <br /> . _, ,._ <br /> .. (j�LLl� 9'�.�(/C�'�✓��. ._. <br /> .. <br /> _ _ . __ .... <br /> Or:l�r Rcceived . <br /> _ _. „ <br /> VVork Completed (,f� � �� .(£ �, <br /> � � ........r, <br /> ..... �' Fm�mvn ' . ' <br /> i ✓ <br /> " �'i. <br /> ,.. ._'�:_''�.. <br /> '7 <br />
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