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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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_ `�_...-2 _-.. ,"; ..,�- <br />- � - --- - �-- — .. _ . . 7. <br />� <br />�_•����� "`f ' � _��_� '�. <br />W. O. IONM p � � � ���� <br />CITY OF EVERETT--Water Dept. <br />Alication No...: ��'..��.(�r. Date.......::..' � ...19.�.:.c� <br />PP................................. <br />Install .............................. .inch water service pipe <br />or ................... - <br />............................................ <br />. ,�7.`..j.cY.`.�..i .................... <br />On =Z./... ::...:..._6 .........:......i:::�....................................---..... Street <br />.......... <br />Lot...................................... .....__....... -... Flock No...........----..............------ <br />Adciition.......................................... ............................................................ <br />Remarks ................................. <br />....................................................................... <br />. � .��.....:=-'.'�.�L.`.:........ .--......... <br />�.".../_`.:: :..:":.... ;� ............. <br />LABOR AYD MATERIAL USED <br />:.,end Connection ComPlete <br />Saddle Complete <br />. , I Scrvice Cock <br />........................................ .. .......... <br />,_...... Service Box <br />No. Hatirs L�bO[ .............................. <br />Cut in ....................Pavement........... <br />/� .... „. ........... <br />SuPErintendent <br />........................Sq. Ft. <br />........................ �� <br />. . � ....................X........................ ........................ �� <br />�.Q ���. �. <br />Totel ........................Sq. Ft. <br />Order Received ............................................ <br />\Vork Completed ......................................... <br />............A'oremar <br />
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