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5028 ELM ST 2016-01-01 MF Import
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5028 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:40:52 AM
Creation date
2/12/2017 7:40:46 AM
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Address Document
Street Name
ELM ST
Street Number
5028
Imported From Microfiche
Yes
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6 A Mlf�[ ��� � ' � � - '� <br /> M. O. IOpM � <br /> CITY OF EVERETT--Water Dept. <br /> Applicution N���'..1�..�D te......`-�..�..._... ......�...'''..,7.......---..19:�_� <br /> Install...�,��.`..._��....._.inch water service pipe <br /> For .............�.._................. ...�� <br /> .....-----.. <br /> On .......:e--�.�� � ' f................................................. <br /> --... ..... .. "-----�—.....--•......... Street <br /> Lot...........�---�........................................_... Block No........_......................._... <br /> Additiun ................................................... <br /> ...................................................... <br /> � r.. ..-----.....---.............................................._. <br /> � . . .. ....................................._......---........... -�-----��-�---....................._... <br /> � . ......................................_... <br /> ' �..�., � <br /> , � .. � <br /> . .,..................................�----.............._......................_................... <br /> � ��� <br /> , . <br /> �af, . ..,�.,y ......--�.....................� �� <br /> .. . .. ....... .... ....-................... <br /> � ., � <br /> �, <br /> . :.,_ .. ...........................................,.............. .......<<�y�-e-...------.... <br /> �'.r,�� �, //���uperintendeat <br /> ��Y <br /> LABOR AND MATERiAL U ED <br /> No. Size � <br /> ......................................................I Lead Connection Complete <br /> ........_................._. _ .. ._. ..._ SaddleComplctc <br /> ..._...................ft._........................ ..........:........_.............._......... . ..Pipe <br /> ....................... <br /> ......................................_.............. Service Cock <br /> ��...................................................... Service Box � <br /> No. Hours Labor..............................................Cost..........................._....................... <br /> Cutin....................Paveaicnt....................X......._............... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X...............'-'..... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> . Tutal ........................Sq.Ft. <br /> � y,,` <br /> . � <br /> i ,, � � , � <br /> Remarks...r...................=..:.........��..:..._...:..:..:::........................................r...... <br /> / ' 'ti" � � <br /> .........................................../................................................................."'"'""'.�_F�' <br /> ���1 t �_� <br /> .............................�--...............---........................................_.................... <br /> � I ` ``I \ <br /> Ordur Peceive3.........;.........................._:............_....... ..,.1.j......---.........---.. <br /> � ' �- l <br /> R'or�_ Completed...i......:_�::.::..::._.c...::.:.................:.`.:.:1............................... <br /> ' Foreman <br />
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