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4819 GARDNER AVE 2016-01-01 MF Import
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4819 GARDNER AVE 2016-01-01 MF Import
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Last modified
2/11/2017 3:40:30 PM
Creation date
2/11/2017 3:40:25 PM
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Template:
Address Document
Street Name
GARDNER AVE
Street Number
4819
Imported From Microfiche
Yes
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r , <br /> B. J. PRICB[ � � ( � � �/^ � � <br /> W. O. IOPM .l• � <br /> CITY OF E�'ERETT--Water Dept. <br /> Applicatian No.....i...c1...L..�..ia DAte...._T_r_�....-#n&f....................19...... i <br /> � Iastall.......................__._inch water servirr_ pipe <br /> For .......(�.L�(,.C..�/i...._�:.:�..._C_!L r�.�L.t�::...................................... <br /> ��, � �`_ � - <br /> On ..........OT'.'.r.t!�..........,r.......... ..... . ............ ........................... Street <br /> Lot........................................... ................ Block No.....---............................. <br /> A�9dition ....................--........... ................................................................ <br /> Remarks ...�..�..�.9.........Gfd.Y.'C�.CI.�'.�".....14.V.0.................................. <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> ......................................................................................................................... <br /> .................................................................................................................. <br /> Superintendent . <br /> LABOR AND MATERIAL USF.D <br /> No. j Size I <br /> ..... . ....................................TLead Connection Complete <br /> ......................................................� Saddlc Completo <br /> .......................f t............................ ........................................................................Pi pc <br /> ..................................................... Servicc Cock <br /> ...................................................... Scrvice Box <br /> .................. .... . ................................................................................................................ <br /> No. Haw•s Labor..............................................Cost.................................................... <br /> Cutin...................Favemcnt....................X........................ ........................Sq.Ft. <br /> /� / ....................X........................ ......._............... :� <br /> //2GC A:� � �' 7�c S ....................X................._..... ......................_ �� <br /> ....................X........................ ,� <br /> ........................ <br /> Total ........................Sq.I't. <br /> -- -------- -- <br /> Remarks............................................................................................................. <br /> i' -i' . <br /> ,:�-y f>-�-,.i S�gir ��, a� <br /> h....:..:................................................................... ........................................... <br /> ............................................................................................................................ <br /> OrderRecei��ed............................................................................................... <br /> \Vork Completed..................................................................................._..._ .. <br /> Foreman �. � <br /> �. <br />
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