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3615 GEYER LN 2016-01-01 MF Import
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3615 GEYER LN 2016-01-01 MF Import
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Last modified
2/11/2017 4:06:19 PM
Creation date
2/11/2017 4:06:07 PM
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Address Document
Street Name
GEYER LN
Street Number
3615
Imported From Microfiche
Yes
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w. orroq/� � �O' , • �`/ �a <br /> / <br /> CITY OF EVER.ETT.,V�Iater Dept. <br /> Application No ./...��%- Date..........,...:�:..:::...a..�......... l 3- <br /> -- � . .19...... � <br /> Install......_�__,.::;:,..inch water service pipe <br /> F�• .........:...l:.:z.-�f............-rt........::.............. <br /> �� r� .. .,1. _ <br /> - ............................... ... .. <br /> .. . .. <br /> o„ ...........��:�-...._...��,�.<.:... - <br /> �-n:..c.:,.<.-:..........-•--....... Street <br /> Lot......._,/�.'....�r.r.-1.—................. ...... Block No.................................--- <br /> •`lddition C _,{' . . <br /> .................... .<.,-�,. .�-�.......................................................... <br /> ... . <br /> ...... <br /> Remarks _..�:.c.:.r:t.-:.:::K��<z................................................................ <br /> .....� <br /> .................................... � ' . <br /> ...... _. .�.:..........:......:-.G.� . r z f <br /> ...... •�;il`.5..�:..................... <br /> .............. t.p............ <br /> � .........................................""..................... <br /> ...... <br /> _................_,.......� <br /> � i.�.�........................."'................................................... <br /> '. �/ � /. ......."" <br /> ..._...........� ...........LtG�..... .i. ,�_�' .f'� � <br /> � � ✓.................................. . <br /> ...........i......... . <br /> / i� ..................?'� <br /> !f��" Superintendent <br /> LABOR AND MATERIAL USED <br /> _No. ' Size I <br /> '�""""""""""-'- I Lead Conncction Complete <br /> ..............:.............._.................... Saddle Complele <br /> ..............L.c....ft.. �� � � ' <br /> .......................... � .................................................Pipe <br /> , . ....................... <br /> ........................................�............. Service Cock <br /> ............................ ........ Ser�ice Box <br /> ................. .............. <br /> ...................................... <br /> No. Iiours L�bor.............................. <br /> ................C a s t.......................................... <br /> Cut in.....................^-avetticnt....................X........................ .......... <br /> ' � - ........................Sq.Ft. <br /> ; � <br /> ; � ic. �� ....................X. �� <br /> , .. . . ...................... <br /> . ......._............... �� <br /> ..i� ....................X........................ <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> -- ________ - Total <br /> ...._. ........... <br /> � � --,_,'� �— ' �_--.—,---�_ <br /> Re�narks.......:_::�......::_:,......��.c.::_.�L.. <br /> ............................................................ <br /> � , �, . �, <br /> _. ......................._�.....:.. .:....,.t.:�?:<:�....:.._.. . - <br /> .....:..�._.................................. <br /> J ........ <br /> .....................::.........�.:,:::...i.............................. <br /> .............................................. <br /> OrderHecei�•ed............................................................. ... . <br /> . .. .. ......................... / <br /> 1Vork Cainpleted..J..:.1..`L..:.1.............._.._.. � ' <br /> ....... . .....:._:.:...:..;... ....... . . / <br /> Foreman <br /> -r�- <br />
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