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4925 ELM ST 2016-01-01 MF Import
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4925 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:30:16 AM
Creation date
2/12/2017 7:30:08 AM
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Address Document
Street Name
ELM ST
Street Number
4925
Imported From Microfiche
Yes
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i� �RI[\��1� � � � .� .. '� <br /> W. O. /pqM <br /> CITY OF EVERETi--Water Dept. <br /> , ._ _ � . _ .._. . <br /> � • ,.� -,. _ ,=. <br /> Applicatiou No.�:...::'.:.. . .... Date...:.-.............._....'.: ..............19...:.. <br /> ... , <br /> , Install.......�::..'.`..............inch.waterservice pipe <br /> , <br /> , , t ��� <br /> . , <br /> For '�' ' ' ' ' <br /> 5 <br /> ..........._.................:................................................:................................... <br /> „�,� ,- �. . , ,__ .......... <br /> On .........................:.........r........i...::::....................................._. Street <br /> Lot..............................._........................_... Block No........_..._.._.._......_...•••- <br /> Addition .......................................................................................................... <br /> F.emarks ......................._......................_......---............._.........._..__............_... <br /> .� , .� - - <br /> ...................�l ..�....�. ...................................................................---.......... <br /> . � i . . - <br /> .......................o.. <br /> . ......._..................._........................................_. <br /> G � <br /> ' <br /> .. ... ......._ . :�....�.........:...:.�........_.........._....... <br /> ...:................................._....._ . . <br /> y` • 1 ,; r /` . ;. �, <br /> �................................._.._:...�;;........:.......�::.........:._::..._.........._ <br /> ... ................... , <br /> � .? Superintendent <br /> �1` <br /> LABOR AND MATERIAI. IISED <br /> No. Size � <br /> _ ..,.,,,._,,,,_.,,_......................... Lead Connection Complete <br /> . .....:................... Suddle Complete <br /> ..._.................... .. <br /> .................._. <br /> .St._.._..................... ..............................._.........._...........................Pipe <br /> .............._............ <br /> ._.__.................. Service Cock <br /> ........................... <br /> ........................... Service Box <br /> No. Hours Labor......................................._.....Cost..........................._....................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> .....X........................ �� <br /> .............. ......._............... <br /> ....................X..............._.._... ........................ <br /> �� <br /> ....................X........................ ........................ �. <br /> � Total ........................Sq.Ft. <br /> ------ � --- � <br /> Remarks..............................................:........................................................._... <br /> ............................................................................................................................ <br /> ............................................................................................................................. <br /> OrderPeceived ........:..................................................................................... <br /> •i._ , I <br /> \'iork Completed...:..:.....:..�:.........:......:............................................_............. <br /> , Foreman <br />
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