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5105 DOGWOOD DR 2016-01-01 MF Import
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5105 DOGWOOD DR 2016-01-01 MF Import
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Last modified
5/8/2017 3:38:55 PM
Creation date
2/12/2017 3:23:46 AM
Metadata
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Template:
Address Document
Street Name
DOGWOOD DR
Street Number
5105
Imported From Microfiche
Yes
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� I`�) QR <br />0. J. Pql(!C � �/ � V <br />W. O. IONM ] j � _f-` � <br />CITY OF EVERETT--Water Dept. <br />�', �/ � ;. <br />Application No..,:..::"'/;..... Date........._r.;: ;r.:'-.......:'.:.�-._.19::..:— <br />Tnstall..._.:�,7�..........inch water service pipe <br />For ....... t.�'.;c,...�R:c�/.t:�r..,t.......�<�:�s.e:�fi�:.' .............. <br />-.. <br />...... <br />On ........'..�'...:.�:.�:.....: �`�-�-s•f�.:a`-'......._r�r° �nL,-_A.� treet <br />.... .� ......}. .. <br />LoL........................�P................................... Block No. -, - - <br />Addition ...................................... <br />Remarks �!.'.-�F.ti.'....:r.;�.c:r:s,<. <br />i <br />' ..............�,:......::...............� ./'.. �,/ <br />r ....................................................................... <br />_ ............ . /�- <br />.�.,._��;�.%� ....................................:.�'�... >—,.. <br />..........................F <br />/i �. Superintendent� <br />� <br />f' � <br />�� Ci' i� � � <br />„ _ . , LABOR AND MATERI.4L USED <br />No. I Size I <br />--- <br />................. �........................... <br />I <br />... ........f t. ..... _._...'.... �........ I <br />Lead Connection Complete <br />Saddlc Complete <br />.................. .................................. <br />Scrvice Cock <br />Service Box <br />.................................................... <br />.......... ...................... ..----... _. <br />■ <br />No. Hours Lsbor ........................................... <br />Nt in_......_....._._Fav^mcn! ....................X. <br />i....... <br />Pipc <br />........................Sq. Ft. <br />......._ ............... �� <br />........................ .� <br />_. <br />Total ........................Sq. Ft. <br />_---- --- -- — <br />--'— <br />emar - ......... .............:. <br />......_....._ ................................................................. ... <br />.. ...... ....... ..... .. .......................... _.....................-.................... _........................... <br />..........................................%....:.. �..r.:: �...:................................................_....... .. <br />OrderRecci�•ed ............................................................................................\ <br />\Vork Ccmpleted...:..:.. � ..:.:: ......._:.............._:...�.....:...:.....:..................... � <br />Foreman <br />
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