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1215 ELMA ST 2016-01-01 MF Import
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1215 ELMA ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:46:23 AM
Creation date
2/12/2017 7:46:21 AM
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Template:
Address Document
Street Name
ELMA ST
Street Number
1215
Imported From Microfiche
Yes
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w`o. roAr. o/�� � � • . .` <br /> CITY OF EVERET?'--Water De�,�t. s <br /> � ��c. . ,- � , <br /> Application No../.S!....�. ,_ Date�''''`<'c-�^.:t:...:�..�............19...... <br /> Install._S�i��..L..:.......j.�.-inch water se�vice pipe <br /> Fer ............�y-.-��a.ti..ti,-.......::¢x.:r...!.o_t�ar....r�(l.i.L_.............. <br /> _ _._ L' , <br /> -.: <br /> On .....................�,�...........C.,...�-r.:.c_.:u....................................... Street <br /> Lot....................._:�................................... Block No.........c�..----................. <br /> �ddition ................. �...................................................................................... <br /> Remarks ............_�.............................................................................--•-----• <br /> .. ..��.0.............. . <br /> .......................................................................................... <br /> �r --- <br /> `�.J................ .... .:............................................................................................... <br /> _ .................. .. / ....�...,` r==-----•--- <br /> - � � � :.,� <br /> ... .............. ................................................. <br /> .. / �, � r-- <br /> , ._ <br /> . ...�:...!4.. ........:.................................................................:. ...a. .............. ..... <br /> '$upe�tendent ! <br /> _�2•=S`.� _ _—_— r\,.� <br /> LABOR AICD h1ATERIAL USED <br /> No. ' Size � <br /> -- _ — <br /> ...................................................... :.ead Connection Ccmplete <br /> ...................................................... Saddle Complete <br /> � / e! � � <br /> � ...........,�.z...ft........:................... ._.�_,<.�✓.I.tc.�...............................................Pipc <br /> .....................1.... <br /> ..�(:.:.(::.._........ ScrvlcF Cock <br /> ......................f............................ Scr�ice Box <br /> A'o. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Favcmcnt....................X........................ ........................Sq.Ft. <br /> r �� <br /> .L'ct. . :.r�e.ef" ....................X........................ .....__.............. <br /> 3 `' r� ....................x........................ ......._............... „ <br /> ....................x........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ----'--i/ --- — — <br /> ._ _� . <br /> Remarks.........��'.....{G.d.........,.�.�.t............................._................................ <br /> _. ......................�.�..:���..t.. ....�:::�r.:%.....:..:,..�-..:............................................. <br /> � ..::..i.:..�..x:�:.....................................................................-•- <br /> .......................�.. <br /> OrderRecei�•ed............................................................................................... <br /> !,i i <br /> \VorY. Complctcd.,.'...'..��...:.-..::..'.....................�.i.L�:..: �.^.�............... .. <br /> ' Fo�eman <br />
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