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1432 LOMBARD AVE 2016-01-01 MF Import
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1432 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 4:01:47 PM
Creation date
2/17/2017 4:01:42 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1432
Imported From Microfiche
Yes
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., 9 . , _ <br /> S J.Priebx4h �� � <br /> W.U.Form! <br /> CLTY' OF EVERET�'--Water Dept. <br /> ����� � , : � �' / <br /> Application No...__..... _.. ---.. �D/a/e�t„-_:_-'...�-1......:.:...............19..:.-- <br /> .. 7 - � , . . <br /> �/ A In=�ta11._,_..YI._.:.. . ' incl5 water service pipe <br /> i' , . <br /> .. . <br /> , ' " % ' <br /> i t � �.� • , <br /> For ..... . . . , - - � . . .... ...... ... <br /> � �{� � _,; � <br /> On ..................._....._.^.......`::::.1..a.:.�:_..:.�..._•..'..._..-:.......r......- . Street <br /> I.ot.................._�----._...--- -.......---...... - . Bloclt Na..... ------....--- ........-- <br /> Addition ........._.._. ... _- - -..............._.._........- ..._.........................._ ....... <br /> , .� r ., '� —.._("i / , . . i .v <br /> Remarks ........_l. .._y.:zJ.:�!..%.:.........:....-._....- �----...----............�..... <br /> �, <br /> ! " t 1 `. <br /> _..._ � �� �_ :�-.:. ... .--- -.._.........._ <br /> .....J��.:,::_::::::::����. �::. ��--:::::::�.....�:::.:........................................ <br /> _I- .............._�� ............�. ---- -- -...-:, ...._......... <br /> .._G ir � �_...... .....:....... <br /> o- ................. ................ ......._......� �� r�,._.......- - <br /> i� �Super'3ltendent <br /> / � :. .,,^ �,.. „�t.. / �.� ��l ' ,,. �c..�` � — <br /> �i <br /> � �='���.��i��OIt A�IU 11SAT:iRiAL USED <br /> cr� <br /> �'� r �����_ _—._—_ --- -- <br /> —�a : : � �___:'...__..� I.cud Connection Compl�de. <br /> -�-e.--..,.. ::�..... . � <br /> ........... , <br /> '* � ' � � (` � Sadd;e Complete <br /> ...............�. .... ...d. <br /> ., • <br /> � ..N}.^..e......�I .� � ("��1�`�..Sc-r................................Pipe <br /> �.:..�;_,,.�r. � <br /> , <br /> ......_.............................................. SerVice l'.oclt <br /> ...__.................. Service Box <br /> �.���......�.............._. �_......._�............�......._..._....._......_..._.....�.��.._........�......_._.........�_. <br /> . '.•?c. iiours Lobor.........._................................_Cost.................................................... <br /> Cutin....._.......__Pavem_nt....................X........................ ........................Sq.Ft. <br /> ....................X........................ .............-----...... <br /> �� <br /> ....................X........................ ........................ ,� <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> ------------ <br /> Remt:�l;s............._.............................- ....._................................_............._ _. <br /> _ ........ ............._.....- - ...._........ ............. .............................. - ..........._.... <br /> ................................................. <br /> ...--..... -�-� .. <br /> Grder Received... - ............._.....- .....--..........(.�........- � c <br /> ........ .......... <br /> y �/ • .. LL;.-!:'..l_�:�`�.�. <br /> �';'or:: CompleLed/�.�_�/....'6 -�--�':::7 <br /> Fareman <br />
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