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5006 ELM ST 2016-01-01 MF Import
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5006 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:39:09 AM
Creation date
2/12/2017 7:39:05 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
5006
Imported From Microfiche
Yes
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� <br /> � .� �. � �, s _ ���`� <br /> w. o. ro� � � <br /> CITY OF EVERETT--Water Dept. <br /> Application No........1��5� Date. .................._f.�.'�� .19:...�.� <br /> ,/ . ................. <br /> Insta . ..._....`.'...7 ....inch water serv i <br /> � <br /> P Pe <br /> For ` p� �t- - <br /> �,•-:�r.L„�/...:.... .. .::.......x..........F�.;t;��...................• <br /> On .............._✓�D...�S-.'......_�..�7�..........................---..... Street <br /> Lot....................................................._.._... Bloc.; No.---............_....---............ <br /> Addition ............... ... ............................................3.�...r•:"-•-----.............:.... <br /> T:emarks .............L......;�.�C.�.�� �.......1�_:?::�`1-�':_?� <br /> ................................... <br /> ......::::.......:................/`��...... . ......9.�y../�..j..`�l/ ...... �),[ <br /> ' ...f% fI/��""""""..� -...'.:..:::.i.4..�.:1c31.�.�Y-fZ,t�::; <br /> V ...... .. <br /> � <br /> ..........................." g ""'"".. � ........ . La� <br /> ...................... . :.......���:.. ..... . . ....... <br /> - -- ` - <br /> ' --•--- �---�-.: <br /> , .t.�....................... <br /> .... <br /> � .r�.z..:- <br /> ..................... ....... ......�l...��..................................-"--.. ..._....."-'"""""'............. <br /> . Superintendent(� <br /> LABOR �1Nll MATERIAL II3ED <br /> No. Size � <br /> -- --- — — <br /> ...................................................... Lead Connection Complete <br /> ..._................................................. °addle Complete <br /> .........._...._1...ft.---..�/............... e!:4�1�:'..:.L.........._...................................Pipe <br /> ...................�..........�................. ..crvice Cock <br /> .. _.._......._..�.... .n.�u.s�.......... Scrvicc Box <br /> No. Hours Labor..............................................Cost.........................._....................... <br /> Cutin....................Pavenient....................X......._............... ........................S4.I't. <br /> ...................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �. <br /> ........................ <br /> Total ..........._...........Sq.Ft. <br /> �'.�_—_----- <br /> � _/. . <br /> � � <br /> Remarks...............................�.......��:.>......,:.^'..'_�"'•a.---�.. ._�r..:�............ <br /> .............. <br /> ..................................:l.G�:a!`__:z.7.Lr>:.�...<.?...:r:.�c..r...:.-:.._........... <br /> .............................................................................................................................. <br /> OrderPeceive3..............---....................---.................................................---- � <br /> ,, � 4';i <br /> \Vork Completed.�'..`.�Z.:................................._..[l.._�.�:1::�'.:.c.5.._...-- <br /> Foreman <br />
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