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5005 ELM ST 2016-01-01 MF Import
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5005 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:38:43 AM
Creation date
2/12/2017 7:38:37 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
5005
Imported From Microfiche
Yes
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a d.�nnits��i�V il/ � � - D.3 r� <br /> W. D. I]qM <br /> CITY OF EVERETT--Water Dept. <br /> / , <br /> Aoplication No........11.:n5�.Dat�./........................��.���........19.�5� <br /> \rn Ins`tall/...i....:��7.......j.7 inch w�ater s)ervi�pipe� <br /> For ../1.1.�_`��::r�xJ...1..��....L:7.�eCP_�. ��-f..l..� <br /> rT............ <br /> On ---�-�...............Jl..��_�._.......���9�.:....._.......................... Street <br /> Lot.....................................................-•----. Block No........-••-•-•...._............... <br /> Addition ............ .. . ...... .......................................... .. . <br /> . . ...........• <br /> ... <br /> .......... <br /> I � .'7� <br /> ftemarks. ........... �.....� ... .�:4:.�1.../..1.2.e'.ul........ ...y....�._A.�!.'.:'!�t:c�{., <br /> . <br /> :' ., . <br /> .................._........--_ r--..............-----�--........................._........-------........... <br /> :...........:.......'--..:... ........ .... ...... - <br /> � � �� 3 � ��L. ,��73��,��,..���-.�f,4.w <br /> � !f � ; __ a �� . <br /> . ...:.............._.,.'i-�:-.. .4......:..............-- ----...............� <br /> .... . -- <br /> T 1 <br /> ....... ......... <br /> ......... . . ...�.....�:......................"""._......................... .:. ' �......ci:e�s��J <br /> � Superintendent � <br /> � <br /> � LABOR AND MATERIAL OJED <br /> -- No. � Size � . <br /> ........._........................................... Lead Connection Complete <br /> ..............._..................................... Sa2dleComplete <br /> ...............:..l.fQ_..._�!!.............. S.:.k:tt�h_f.�.�.............._...................................Pipr <br /> �� .. Se viee Cock <br /> .................�..............�............. <br /> .........._.....(.........::�.a.cx.Y'....... Service Box <br /> No. Hours Labor......................................._.....Cost.................................................... <br /> Cut in....................Pavenicnt..............._..X......._............... ........Sq.Ft. <br /> ................ <br /> ....................X..........._......_... �� <br /> ......._......_....... <br /> ..............]L................----... �� <br /> ..... ........................ <br /> ........X........................ �� <br /> ........... ........................ <br /> Tot�l ........................Sq.Ft. <br /> - — -- �, .. � _.. . <br /> Remarks.......................----::: _:1.::: i : .��. , Gx�..�:... <br /> . ., . _ � <br /> . ....._.t....:.:......:..:.: ----� <br /> .........---- <br /> ..............._................................a.aL::..11.....�.....a:...'::.'l <br /> ................................... <br /> ............"'............................................................................................................... <br /> OrderPeceived ............................................................................................ <br /> , . r ' � <br /> 1Vod_ Campleted.:�_- ,. � . � �..�......:_........... <br /> ....'.:....:......................................_....:...... •., <br /> s oremnn <br /> ' <br />
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