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920 LOMBARD AVE 2016-01-01 MF Import
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920 LOMBARD AVE 2016-01-01 MF Import
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Last modified
5/19/2017 6:19:15 AM
Creation date
2/17/2017 9:02:22 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
920
Imported From Microfiche
Yes
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$ J Pricbu4M7.��� . <br />W. D. Form 3 <br />�ERETT--V�later Dept. <br />rlpplication No.. .:.r.'-- :...::::.'.._ Date........_s ...........::. =:...................19.:.:.: <br />' In�.all__ `:.�:._:�.' ..:............inch water service pipe <br />h'or ...................................................._.,.."................................-- ................. <br />%'j- c> ,-. `, ., .:....:- ................ Street <br />�R ...........................1...."'"...................................""'" <br />Lot.............................................................. Slocic No.._...._ ............................ <br />Add'ztion ....... ...............:. ...._..-- - ..._.........................._........................... <br />�.... <br />Pemarks..:...:.:......._..... --....................._............. <br />.............. `.._.. �.'/.._...._._... <br />' . ; . -- ................. -� - - -� ---...........- -... <br />... - , r— <br />� ' ..............................................""""...... <br />. .�......:..... <br />i <br />. .....:....i...... �......... <br />........"' ................................"'"......__""_ . . ... . . <br />"_ __ <br />� _ "� !.% — � "� ._.�..1 ....:......:......................................... <br />�............1�a ................_ .. ....b... _. <br />�! � Superi �tendent <br />]LA1301L AND bIATGRIeI: USED <br />A�o. <br />............._..; Lca�i Conr.ection Completc <br />............ <br />__.� Saddle ComFiete <br />�. .. . <br />..... ......... . ....... ........................................... <br />............. S_rvice Cock <br />.__ Servicc Box <br />No. Iinurs Lubor ....................... <br />Cut in ................._.Paver.:.:rt.... <br />.......X ........................ <br />.......X ........................ <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />....................�........................ ......................-- <br />Total ................. Sq. Ft. <br />----- — — <br />Rem�.k�. __.._ ...........................-....._............_......._.............................. <br />� <br />_ .... ... ...... _ . _. .... _............. _ <br />_..........._ ...................................._................. - <br />Oi•dcr ficccived ....................:._..... _�._�; .................................................� <br />.: r. � � "`� <br />..................... <br />\': ork Complc,ed--.._........._.... ....._ t .......:..............._.. - <br />Foreman <br />
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