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5703 EAST DR 2016-01-01 MF Import
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5703 EAST DR 2016-01-01 MF Import
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Last modified
5/10/2017 1:18:16 PM
Creation date
2/12/2017 4:06:26 AM
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Template:
Address Document
Street Name
EAST DR
Street Number
5703
Imported From Microfiche
Yes
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/ �' <br />w. �o. ronw a �V I �� i _. .' `i ,' : % <br />CITY OF EVERETT--Water I�ept. <br />Application No.... �( �/: 1. Date........ � . ..� ............................19_S...y <br />Tastall ..............................inch water service pipe <br />For .... ......C�...... ...................................................................... <br />..... <br />'� ' Street <br />C 1 l ! <br />�n �� . � � .......:.....:. :n.%..: �.'�.w. ........................................ <br />.. .... .. . <br />Lot............................................................ Block No........................----•-��--••- <br />Adclition................................................................ ................. ............... <br />Remarks............................................................................ <br />-����������� �� ���� Superintendent <br />LABOR AND MATERIAL USED <br />Size <br />:.cad Connection Complele <br />Saddlc Complete <br />5crvicc Cock <br />Service Box <br />......................... <br />No. Hours Labor ..............................................�os�.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ......._............... <br />�� <br />....................X........................ �� <br />........................ <br />....................X........................ ........................ �� <br />Total ........................Sq. Ft. <br />---- <br />Remarks............................................................................................................. <br />Order Receiced ............. <br />\Vork Completed.......... <br />... <br />Foreman <br />
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