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5629 LOMBARD AVE 2016-01-01 MF Import
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5629 LOMBARD AVE 2016-01-01 MF Import
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Last modified
5/10/2017 1:07:25 PM
Creation date
2/17/2017 8:50:50 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
5629
Imported From Microfiche
Yes
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. <br />I.J.VRICI'F.iM ����� ' ,:�`i'�.. <br />W. Il. fORM :1 <br />CITY OF EVERETT--Water Dept. <br /><; , � ;7 , / <br />Applica[ionNo......:..�'.�..r..e Liatc.._ ..........:.. ....!-�...�.....19.11C� <br />Iastall ........... .................%' ch water service pipe <br />� <br />For ... _ ................._._......_.. - / �1............... <br />.................... <br />On ..`.��_���... . ...C:.yi.2�i..°rt�/1...... . . . Street <br />Lot................_._.._...................----......_.... Block No_..............--.................. <br />n,i�liti ._.___............_.........--........__.........--- ............................._.......... <br />I, <br />1.. s ...................................................................................'--.........---........ <br />_............ _. _... .... _--- .................................................•----................... <br />__........ _ _...... _ ................�---..................._...........-'-'--..................__..... .. <br />_ .... ......................---- SuPerintendent <br />...................................... . <br />LA.ROR AND hiATERIAL UStiD <br />....._..I Lead Conr.ection Completc <br />� Saddle Complete <br />......._I . <br />......................................... <br />................Pipe <br />_,.,.,,,. Scrvicc Coc1; <br />.,,,.,... SCCVice Box <br />.............. ............................. <br />............. <br />. . <br />� No. Hours Labor ............._......_.._...................Cost....._........_................._..._........ <br />� . ...._......_..........59. Ft. <br />. .. Cut m .................._Pavem.cnG..................X.....................t. �, <br />� � ....................X........................ ..._................... <br />� . ....................X........................ ........................ <br />�� <br />� ....................X........................ <br />.............._......_ �� <br />Total ........................Sq. Ft. <br />__ __ ___ <br />-- Remark.> ..................................._..�.........._..................................................._. <br />......................................_............. - <br />.. <br />Order ??eceived ............................................._.. <br />\Vork Com�leted ..........................................._ <br />_- <br />Foreman <br />
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