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3621 GEYER LN 2016-01-01 MF Import
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3621 GEYER LN 2016-01-01 MF Import
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Last modified
2/11/2017 4:07:07 PM
Creation date
2/11/2017 4:07:03 PM
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Address Document
Street Name
GEYER LN
Street Number
3621
Imported From Microfiche
Yes
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- ,.., <br /> , - <br /> f J. PPI[94; I 3 7 7 2 ` � / 7 �'� <br /> W. O. fORM .. <br /> CITY OF EVERETT--Water Dept. <br /> Application No....':...,1--.L..1.,.J. Date..............OiC..io......1H&L...........19....-- <br /> T. stall............................ .inch water service pipe <br /> � <br /> For . ......' . ..... .. . .L�.�.2.�<f......... ............--- .......... ... <br /> :.. .. . <br /> o,� ..........--��.�`�..`..�--.:...�-:...3�1: �..._G�. ..' "-.._L!�� Street <br /> � ..... <br /> Lot.............................................................. Block No...........---....................... <br /> :1d�lition .......................................................................................................... <br /> ' Remarks .......................................................................................................... <br /> ... .................................................................................................... <br /> �... . <br /> %..'........�.��.,�....................................................................�---............. <br /> .......................................................... ...............................................................�- <br /> .9...-.....�,�.�....��............................................................................... <br /> Su�erintendent <br /> LABOR AND MATERIAL USED <br /> No. Size I <br /> --- — <br /> .................................._................_ :.ead Connectian Complete <br /> � Saddlc Completc <br /> ......................f t.....................�...... <br /> ........... ............................... ......................................PiPe <br /> ...................................................... 5crvicc Cocs <br /> .............................. ..................... Secvice Box <br /> No. Hours Labor..............................................Cost...... ............................................ <br /> Cutin....................Pavement....................X........................ .......................Sq.Ft. <br /> � F <br /> / � �. ........X........................ ......._.............. �� <br /> �/ Z.(�C42 ��✓ ,.f.. .............X........................ ........................ ,� <br /> ....................k........................ „ <br /> ........................ <br /> Total ........................Sq.Fl. <br /> -- ---- <br /> Re:n a r ks.................................................................................�......................... <br /> � a�• 7li ' <br /> __./�1<::iN.x.................................................... ...._.�.5.�.!::......................... ' <br /> OrderI?eceiced............................................................................................. <br /> \Vork Completed..................................................... ........... ....................... .. <br /> Foreman <br /> -r_ _ . <br />
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