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4210 CRESCENT AVE 2016-01-01 MF Import
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4210 CRESCENT AVE 2016-01-01 MF Import
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Last modified
2/12/2017 1:01:40 AM
Creation date
2/12/2017 1:01:19 AM
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Address Document
Street Name
CRESCENT AVE
Street Number
4210
Imported From Microfiche
Yes
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a. J..:nnirnc ?_�/ / D" , ' ' ,i-�"'.. /�' -h!�� � <br /> w. e.-�naw.a �I� <br /> � CITY OF EVEREIT--Water Dept. � <br /> f��i��' ��� -� �: �� � ' � <br /> Application No....::.................._ Date.._�..:.r....,............_:................19----.. <br /> Install...�.�.��............._.inch wlter service pipe <br /> For ........._...................................................................._...............-----............. <br /> � , „ i, <br /> On ......�...�.�..1..:..:.....:...:.:.:....::..:.:...._..�......._........................... Street <br /> Lot.............................................................. Block No........-----------.........._-- <br /> .'1di',ition ....................................................................................�---................. <br /> remarks ................ " � . .. . . . . . f <br /> ........... ........ ........ ........... .............--.. ............. <br /> .. .. <br /> . - <br /> , _ � <br /> , ^ . <br /> , � , <br /> _..............................i.. .......�..:.........:....._......................_........_........'-----�------- <br /> ..........................................................................................................."' <br /> -•-'-'-'-'_• <br /> . i <br /> .; <br /> v ,� �� <br /> ......................................................................................._:................. ..........r.... <br /> � l . y.. :, , <br /> ,; <br /> ..................`--..............._.._....................................._.._........... - --..:..V...,/..:.. . .�. �. <br /> Su erin�d.er.tr � <br /> e-, � <br /> LABOA AND MATET.IAL USED <br /> _ . _No. j Size __ <br /> ....................._ �...........................'I Lead Connection Complete <br /> ................................................_.._' Saddlr Complete <br /> ......_�i.�.ft.. �/q. . ! ,_.i,:'::. ' ........................Pipc <br /> ...... ....... ............ .�. ,......._.................... <br /> .......................1.......�#............. ScrvicE'Cock <br /> ............_._......f...................:......... Ser�ice Box <br /> No. Hours L�bor.._..........................................Cost.................................................... <br /> Cut ?n__...._....__.Pavement.._................X........................ ........................Sq.Ft. <br /> " ��c' � . <br /> �,, : . .�:.,�.,.._..............x........................ ........................ ,. <br /> � ....................X........................ ....................... „ <br /> .........:..........X....................... „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ----- ------.__------ - - <br /> - --- <br /> Gi � . ., <br /> P,e:na e1c5..................................!-.._f:tF;l:;......:c..^...:.:�::.:..................................... <br /> � ; �� <br /> . ...................:.........i.::.:.:..:...:�..�:.r.l::...z..:..<i...,,................ <br /> .. ......................... . <br /> � <br /> ��...::.�.:i...�:................ <br /> ___.....---......................._......--"--- ..................._................. <br /> Orde_ 'zceice:l........._.............................._.....................;. ............................ <br /> l: • <br /> \Vm�}: Comple.ed..L<:.::_.�!.z'..-.i:..,�...........Y,.�...L:f',_..c:..:.,t.-�.. -... <br /> � For:m�n <br /> l <br />
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