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220 MADISON ST 2016-01-01 MF Import
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220 MADISON ST 2016-01-01 MF Import
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Last modified
4/27/2017 1:48:54 PM
Creation date
2/17/2017 10:08:32 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
220
Imported From Microfiche
Yes
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-_ -. �aZ�� _. �-y�,. � <br />w.� . ronw a � � <br />�� CITY OF EVERETT--Water Dept. <br />�; <br />., <br />� Applica[ion No._ �. �:='. ��:.-'-'.... Date ....... :::..:::..::. ./.,::.:.................J.9....-- <br />I�stall ...............................inch wat�r service pipe <br />For........................................................................................�--.................-�--�-•- <br />�.:? �. �ic �� �� -, e:;^ .. ::............................. Street <br />On ............... ...........�._'................ <br />Lot.............................................................. Blocf: Nu.. -�----........--�- ............. <br />Addition.._........._ ......................................................_......._........................... <br />Remarks `��/S" <br />. _ ........ e........ _ ......................................................----......................--- <br />...... .......................... <br />�• , <br />%�.........::�...: <br />_"".... <br />. <br />7- - ._r'./.. <br />.......... `.:..: <br />, _ ................................ .. ............................................_��.1.� : :x.. �:.--..... <br />Superintendent <br />`��-%' <br />I.ABOR AND MATERIAIL USED <br />No. i Size I <br />:.,ead Connection Complete <br />Saddle Com�lete <br />.....................J Service Cock <br />.......................I Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ " � <br />........................ <br />....................X........................ ,� <br />....................... <br />Total ... ................Sq. "r t. <br />------------- — <br />Remarks.......................................................... .................................... .......... <br />OrderReceived ...................._..............................----.............._......._.............� <br />\Vork Completed ..............................................--................................._.._.. <br />Foreman <br />
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