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4912 FOREST DR 2016-01-01 MF Import
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4912 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 10:16:38 AM
Creation date
2/11/2017 10:16:29 AM
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Template:
Address Document
Street Name
FOREST DR
Street Number
4912
Imported From Microfiche
Yes
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_ 1x- <br /> S.;.Peiabe�M7Ab�5'� , 60 ' ' / p� �� / <br /> W.U.Pmm 7 <br /> CITY OF EVERETT--Water Dept. <br /> /� � �'� ., .:_ . / a .5z' <br /> Application No........�....-�-�-���e----.-..s-.-_'.-.:----{...................19._... <br /> Install.....`�:......... .... inch:�vater service pipe <br /> . � , , , <br /> , • <br /> � ,..,�. <br /> For .. ..��.'_!��. .............................:t...:....._.....:L.r�.............---..._. <br /> � � � <br /> On ...........y.�.�^:----...�: /'� -j •----- J---. . . . . Street <br /> . . ............•---... <br /> Lot..............��.P..�?�..�:.. ,...Y...'..--- Block No.---.........................------.. <br /> Addition .......................................................................................................... <br /> Remarks ..................�......---------....----..............,.---•------.......� ----- <br /> �-- <br /> �.�� . :�� � �'." , �, .. • �, . <br /> ....-----........................---.._:�1.:�..i......._..................i:.........:----•------.. ......... <br /> G..�.--......d'J.1.:'..1..1..?::::......_cT..'l..Lc..:..:_:.r...!�..:.............�--...----.._....... <br /> ... "'....""'.............""'......."""""'..................._"'.............J...""' ' !. .....:... <br /> � �......:�� :��:.:_� <br /> � .`...�.�`.......... ..........................�----....----........./ .---� <br /> / ., !:/`�'� �� " G�/ ��P`�:n deat <br /> / . . <br /> � E �g�� ' LABOB AND MATERIAL IIBED <br /> `size � <br /> ---- <br /> `, „�,, ' � � �' ........... Lead Connea�..on Complete <br /> .......:• , <br /> , .,:r.._..:.......... <br /> ...... ..........-i.:......._...................... Saddle Complete <br /> - -_ <br /> .......................ft._......................... ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labo:..............................................Cast.................................................... <br /> Cutin....................Pac�ment....................X........................ ........................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ .. <br /> Total ........................Sq.Ft. <br /> ------ <br /> I f . �� • <br /> .. .- <br /> Remarks.. . . ....,.,a......._..., ._......._:.c.:.'.............:......._.................._-----..... <br /> � <br /> � , <br /> , �' <br /> _�_1...... .. ............. � ............................,..--r.................__ .---.............................. <br /> �.. f '�" <br /> JC✓:11..:r�T_�-"-.�.-�!'.....�:..�......:........_..........:::�".�.-......---...................... <br /> � ..� <br /> OrderReceived.....................................................r...<:::.�.........-l:---............ <br /> ��' ••' ��/. .�, <br /> �'��orit Completed.........................._ .w%'�.......�:...� ! „�>- ,!�<. .,.......... <br /> 1,- --...,- ...�,....,..., ._ <br /> - ' y Foreman <br />
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