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4912 ELM ST 2016-01-01 MF Import
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4912 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:25:17 AM
Creation date
2/12/2017 7:25:11 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
4912
Imported From Microfiche
Yes
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L.d..PPItY�llr �� � .- � /�" / � <br /> W. O. fOqM � I <br /> CITY OF EVERETT--Water I7ept. <br /> / ' % i . — - ,: <br /> Application No......1l..�,�C Dat ........... .... �...�:..'..........19.`.'_:3 <br /> �/ ... . . .. <br /> Install..._.....::3...X:.........inch wuter service pine <br /> For ....................,.�..`............................ - .. .............................................._..... <br /> (hi ..................._:!...��.�:.�_:.........5:��:-r�........._...........-----.... Street <br /> Lot..................._................................_....... Block No..-••..._..._...................... <br /> Addition ......... ... ....................................................�. ..............................: <br /> Remarks .......�T���t.���....r::;.=.:�f�._.`�.�--.....�'-'?crr.�rc-a� <br /> . <br /> .........:._............................................_......----............................---._............._._... <br /> ' ...................................��,,.`...�.,.......�.,.�........ ........._....----....._... <br /> I � `'..:..............................rQ...,_�G.-� ��1:..... . ��; .... <br /> .........................js.........._1���� v � �.._. ... __ ..J <br /> ...........----.:..._........ ...�t+rc�!�. ' <br /> T, ��� Superintendent (�/¢]/ <br /> � � <br /> � i . . �U i— � � 31.-, C/ <br /> .��� .�.:,'. <br /> s � LABOR AA'D DfATERIAL DSED <br /> ,�.'��^' � No. Size � <br /> ;'A's — — <br /> : -' ' . . � '.................................................... Lead Connection ComPlete <br /> �;'.'�� � ` ......_........ ._..... .......: ............... SaddleComplete <br /> ..�,:: . . : � .. .. � <br /> ...............v.�uft_._�../..s,c........... ._L.e.y�.P..La.`..............................................Pipe <br /> ( r.r............. Scrvice Cock <br /> ..............................:3�' <br /> .................._.::......n.w.t.,G:.:......... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................Y......._............... ..............._.......Sq.Ft. <br /> ...................X..._.............._... �� <br /> ......._......_....... <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ " <br /> ........................ <br /> Total ..............._.......Sq.Ft. <br /> ------7�— <br /> Remarks.................�...tSar.sc. ;C.c�: � ..'�. � <br /> .... . . .... .....4ZA^..^......Z1G3.L}i........... <br /> ...................................::d.i.l.l.2.a:._..�.::J:i:u�..........................................."""" <br /> .......................................................""'......"'......................................................"' <br /> OrderPecei��e3................................................................................................ <br /> \Vork Completed....]..-.�.G.".G...:�.......................�{l.(��3-.:�«.�... <br /> Fcreman <br />
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