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21 MADISON ST 2016-01-01 MF Import
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21 MADISON ST 2016-01-01 MF Import
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Last modified
4/27/2017 10:59:34 AM
Creation date
2/17/2017 10:07:36 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
21
Imported From Microfiche
Yes
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. �. .o.� � /G^�/ 3 —� ,, , ; � <br />CTTY OF EVERETT--Water Dept. <br />ApplicationNo..<��::..`'..`/.. Date .......::..:.:.-...:...........................19��.:% <br />Install ...............................inch water se=vice pipe <br />For.............. . ...........:........................ .............................................................. <br />� , <br />; . ,- %-i. ,- , �� <br />Ori ...._c.-:�...i..._...1::..._�:.1�:..�5.:�.....:..�-....� .................................... Street <br />Lot..........................��-�-�----.......................... Block Na....................................-- <br />Addition............................................................... ........................................ <br />Remarks................ ....................................................................................... <br />_.........._..._ ....................................................._...................... •- ----�---.......... <br />�- <br />_, <br />........... ��� .......�./ .....::....:.................................................................................... <br />...................:......................................................................................................... <br />i� — . J <br />...............................'--........... ..................................................................-"........... <br />Superinte*3ent <br />LABOft AND 11iATERIAL QSED <br />No. i Size � <br />....................I :.ead Connection Complete <br />.................... Saddle Complete <br />.................... ..................................._...................................Pi Pe <br />...._� ............. Scrvice Cock <br />.................... Service Bos <br />No. Aours Labor ..............................................Cost........_........................................... <br />Cutin ....................Pavemm�t....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �. <br />........................ <br />Total ._ ..................._Sq. Ft. <br />��/Remarks ..{ r�� � r� � i- � _ <br />�f, . ,r, i✓�� ,��,f- � �f �..� / ... � �_� <br />. /- � �, I � i �� � � f . . I r �l i . � r � (,i J E'�� 1 � _� <br />�............��: :_ ................................... ... <br />�"�' � �.....�������, ..._�..°`' ' <br />Order Received...i::,..._!:_':«. .... ...... ............................... <br />v - /9 - 7n <br />1VorkCompleted....::.'.. `......L:I .:..............................--.................................... <br />Foreman <br />
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