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4803 ELM ST 2016-01-01 MF Import
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4803 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:19:29 AM
Creation date
2/12/2017 7:19:26 AM
Metadata
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Template:
Address Document
Street Name
ELM ST
Street Number
4803
Imported From Microfiche
Yes
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a.'e. rn�rn[ �3 '�8 V � ��/� � / V ! <br /> w. o. rav.� �( <br /> CITY OF EVERETT--Water Dept. <br /> A lication No..l..�`��5...�_� Date...�':r"..`"1.. � 7 ...12.`(.'..� <br /> PPrf"'......................... <br /> , 7nsta1l ........�J/{!.�.'...........`�ch water service pipe <br /> / � . r� � <br /> For 1..�.L�lc<.�.,,,,J....�Z.a.c�z�e-..._.e%:''� .................................. <br /> On .............._7..G�G...�........�._:��Yz:LI................_............... Street <br /> Lot.............l.l.�....................................�. Block No......................... .......... <br /> Addition ............� L.°.•= - J` � i_t� <br /> - <br /> -��-...........1..........a.::4:�'�.:....:-.... .... <br /> Remarks ..........._.. ._ � >�`,`/... p---.../,�.............:. <br /> ................�.......--�--.......... <br /> � ........� �........ <br /> .....................:::.<. ... .. ......_.�,1......... .... ..... ./.v..........,:�L��.c i�s�� <br /> ............................................................................................................................. <br /> .......................................................................�.�...: ... �.......................... <br /> � /', z� <br /> ....................................................................�:,..�(.�.....,�,.:t:..... <br /> Superint�dent / <br /> �"����t-�L�C.f C.-✓ <br /> LABOR ND 11iATERIfiL USED <br /> No. ' , � Sizc � . � <br /> --- <br /> ........... <br /> .__ . I . T ead Connection Complete <br /> ... ................... ... . <br /> ..;;.._..�_� �addlc Complete <br /> .................... ............. . <br /> ..........:.�._:.. .ft....... ....._,(.....\`. ........................................................................Pipe <br /> ..................�.......... ....._y.......�� Servicc Cock <br /> � . <br /> ............................ ....�.'.......,i�.... Scr✓�ce Box <br /> ....................... �.:....... ................................................................................................................ <br /> ....................... ... ��..... ............................................................................................................... <br /> ..... . <br /> ..... .. .. ........ . <br /> I�o. Hours Labor..............................................Cost................................................... <br /> Cutin..... ..............Pavement....................7i........................ ........................Sq.Ft. <br /> - ....................X........................ �� <br /> . . . ........................ <br /> � � ....................X........................ �� <br /> , ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ==------'------- <br /> Ri•marks.......................:..................................................................................... <br /> ............................:......_:...:.............................::.......................................... <br /> ............................................:._..:...:...:..:............................................................ <br /> OrderRecei��ed............................................................................................... <br /> \Vork Completed.....'..:.._::.......:..:..:...................:......:�.:.:.......................... .. <br /> Foroman <br />
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