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4626 DOVER ST 2016-01-01 MF Import
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4626 DOVER ST 2016-01-01 MF Import
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Last modified
5/11/2017 1:01:25 PM
Creation date
2/12/2017 3:41:27 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
4626
Imported From Microfiche
Yes
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s. a. rn¢oc a� � . <br />w. o. ronw a � �f/ � , . ._.! /� � <br />CITY OF EVERETT--\X�ater L�ept. , <br />� � � � � � �� .................is` . <br />Application No..�.:.....:�..:....... Da�e ..............:....:........... ...... <br />�� Install..._-..� ::................inch water service pipe <br />,% � r/� <br />For .....:.v'.L:,..'..�....�...�..c�.c!: :_:::..r..:c.. ��_:'.....:��....V..�—.�...!.i... ................. <br />On ...............�1.'�-�......_�!J.......... .—: ` F:•. -, r � �, c _ Street <br />.-� - -- <br />Lot..........: �.:..::..- .:.::...:........................_.... Block No......----.......................... <br />Addition ..............i.:.:.:'..:..: <br />Remarks ...............:.................. <br />` ........ ............:............................ <br />�. 1. �� ..:.:: :.::.................:.................. <br />. ��. r <br />. � <br />, , . <br />�-..J ............... ...................._......... <br />.. ...............................:........ ........ <br />No. <br />� <br />, ,. <br />....:........:...... �..:.:. �.....:. � <br />Superintendent <br />LABOS AND MATERIAL USED <br />........................I :.ead Conneclion Complete <br />......................... Saddlc Complele <br />...._ ................. .... � �...... ..:. _.:........................ ..........................Pipe <br />...................... Scrvicc Cock <br />........................ Service Box <br />No. Hours Lab�r .............................................Cost.................................................... <br />Cutin ....................Pavcment....................X....................... ........................Sq. Ft. <br />� . . ....................X........................ ......._............... �� <br />�. . ..�. ..� <br />� . . �, <br />. ....................X........................ ........................ <br />....................X........................ . .� <br />Total ........................Sa. Ft. <br />.................. � � ' % , <br />. ......................... �,. <br />. ............................................. :?... �.1^. <br />Jrder Recei:�ed .................................. <br />\Vork Completed.�< ......::.:::...:..':...... <br />............ . <br />/ <br />Foreman % <br />� <br />
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