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5022 ELM ST 2016-01-01 MF Import
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5022 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:40:06 AM
Creation date
2/12/2017 7:40:00 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
5022
Imported From Microfiche
Yes
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r--- ��� <br /> ,6 J. PN�UL�11- •' ._ . -� / <br /> w. o. ronw � �� f��J <br /> , C Y OF EVERETT--Water Dept. <br /> // ' <br /> Application No..�.��.h--.,.�1'�. e........................._:�/7:...._19�_.y i <br /> stall.............� mch water service pipe <br /> ........---_•. <br /> IJ ,. <br /> For �e.A.n .:�.._.........: .... . "...y_, ,C�G <br /> ...................__.. . �..--; ,.�^. <br /> on ..................._.:.�:.Z� �_.;3.�.:........:�._-L? .�`�.... ._.�...... street <br /> Lot..................._..............................••---..... Block No.._...._.._._................... <br /> Addition ..............................................................::1......................................... <br /> Remarks ..........:...�..�...l..t...l...L`.--.�:........;.,�...:..1`.:G:�:....�. ..;z..e.._.....�. <br /> � .../..... ' �:L/.x..:y.41.`Jl.... <br /> ....................a.�ff:L..:�.:..l:l.�/.:..::.��/....� ... <br /> ...................... . ...................................:.�..'_............................................... <br /> 1 <br /> ..........................��..�r............................��'��...'........................ ....r 1. . <br /> . . <br /> .-. ,. �.,. . � j--��- _ <br /> .............f...::.........._.....�.... _........ l �....�. .,¢�.. ...........-�---.....r.y.::::�.....� <br /> . . .� � 3� V . SuParinten�/G' f� <br /> 1/ l <br /> � ' �— <br /> C ^,�,., L � U MATEP.IAL D9ED <br /> No. �'. 3iz � <br /> ................._.....................':�........ Lead Connection Complete <br /> ..................._................................ Saddle Complete <br /> .................._. <br /> .St._......................... ..............................._.._.._.._...........................PiPe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.._......_.........._........................... <br /> Cutin....................Pavement..._...............X......._......_....... ........................Sq.Ft. <br /> ....................X.........._........... .� <br /> ......._.._......_... <br /> ....................X............._. �� <br /> � <br /> ...... ..............._.._... <br /> ' ...................X..............._....... .� <br /> ........................ <br /> Total ......._......_.......Sq.Ft. <br /> Remarks., ./.,.;�..� ,�i'T�' <br /> ..........�.,�....._...............:......:.._ ..........................:.......... <br /> ....... <br /> ..........................................�..................... .......�.i!....... <br /> � � , q� i I;v.. <br /> � , <br /> ...---�..................._..........---........................._.............................._.._...:. .......... <br /> Order Feceived................_:.'..........,,.....,.. .........•J,}.�:f..!.. <br /> ......................... <br /> \Vor�: Completed.>.................................:...:.............�.................................... <br /> Foreman <br />
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