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1703 MADISON ST 2016-01-01 MF Import
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1703 MADISON ST 2016-01-01 MF Import
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Last modified
4/13/2017 4:32:50 PM
Creation date
2/17/2017 9:53:59 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
1703
Imported From Microfiche
Yes
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_ � �� 3 3 0 _ ,. - �'' <br />w. o. ronH a /-� ��i � � <br />CITY OF EVERETT'--Water Dept. <br />/y �� 3 fi rra � �^:s< <br />Application No...--..:.'c......_... Date ................................................19...... <br />� T�stall ................. .........inch water service pipe <br />��:. � !.....��.l.:.f!"7L ......................... <br />Fol' ............�..kr.2-:.2...i-::a� .,l...... (........_ : ... . . . . . <br />On ...........�:�n..3...._���.�:�:L..,z'L4r?.c�..w .................... Street <br />Lot....... ................................................ Block No..........------..................... <br />� ddition <br />Reniarks <br />............................... <br />.....�7...._�..%�.1 <br />ii_ � i - <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. <br />...................._............................._ i :.ead Connection Complete <br />.........................................._..........i Saddle Complete <br />............. Service Cock <br />............. Service Box <br />No. Iiours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ .............---........Sq. Ft. <br />....................X........................ �� <br />...................... . <br />....................X........................ �� <br />......... ............... <br />....................X........................ ,� <br />........................ <br />Total ......................_Sq. Ft. <br />-------- <br />Re�narks ............................................................................................................. <br />............................................................................................... <br />OrderReceiced ................. ............................................................................ <br />\Vork Completed ............................................................................................ <br />Foreman <br />
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