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515 MADISON ST 2016-01-01 MF Import
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515 MADISON ST 2016-01-01 MF Import
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Last modified
5/8/2017 5:30:22 PM
Creation date
2/17/2017 10:29:33 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
515
Imported From Microfiche
Yes
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w. o. raAw a ����� ,f�C"'� L� � -� � (� � � <br />CITY OF EVERETT--Water Dept. � <br />Application No..��.�J.�.s._... Date........_'.....� . C, `� <br />- - ...................._19.---- <br />7nstall ...............................inch water service pipe <br />For................................................................... ................................. <br />� ............. <br />On ..........�? /.� �J.i:�.`:::r.�.�_., s. <br />........��.._.... .........r.� :..................................... Street <br />Block <br />Addition <br />Remarks <br />_ . ........... :^ ...............' ............ -�-� ............................................ <br />�,; � ..._ ..............----...... <br />�.,. . . <br />� -. ,..........:_ ....::.::..::....:.....................................................`....._. .........--�----------- <br />��..,....�;�.._..._�., .............._................--..........���U.._r...��-�:.�.:_z.-.� ._------ <br />Size <br />LABOR AND MATERIAL CSED <br />Lead Connection Complete <br />Saddle Complete <br />.......... ............ ............. <br />Service Cock <br />......................................................� Servicc Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement...............__.X........................ ........................Sq. Ft. <br />---........_-.__X ......................_ �� <br />........................ <br />....................X........................ �� <br />........................ <br />.................. X........................ �� <br />........ _ ... _ ....... - <br />Total ........................Sq. Ft. <br />----- — — <br />Remarks.................................................................................. ........ . ............. <br />� �.. , <br />, _. <br />., <br />, , <br />......` : ............. ........ '... �..............:..........:. <br />.....:.................................................. <br />� � _,. . <br />. .,: y.,, . - <br />- �,.. _ <br />. . . � <br />.............................:......................... ....._..---.............................---------....-- ---.. <br />OrderReceived .......................................................................................... �_.. <br />\Vork Completed ........................................................................... <br />.._......... .. <br />Foreman <br />
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