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804 MADISON ST 2016-01-01 MF Import
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804 MADISON ST 2016-01-01 MF Import
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Last modified
5/18/2017 9:01:45 PM
Creation date
2/17/2017 10:33:49 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
804
Imported From Microfiche
Yes
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~^-.(p.�I ���3 y xd5'- :3/i� � <br />w. �:__.._. _ <br />CITY OF EVERETT--�ater Dept. <br />Fpplication No...�73`/.� ... Date ..................................:3-/-..794:.`I. <br />lastall ...............................inch •.vater service pipe <br />For................................................_........................................--..._---..... .. _ . . <br />. ... <br />�' G' � �2��af-�v ................ ......................._... Street <br />On ...... ........................ <br />Lot............................... .-- ......................... Block �io........................--� -�----��- <br />... .. Addition ............................-----........................---..........._............---................ <br />, Remarks .,...,J.....- - - � - - .. . <br />�� -- -- � <br />- - <br />.................!:�:._�c:..�.�..:.........._..........................--................................-----... <br />LAES02 AND MATERIAL USED <br />...........................I......._..................I Lead Connection ComPlete <br />.................................................__., Saddle Complete <br />.....:................� Servicc Cock <br />......................� Scrvicc Box <br />No. Aours Labor ..............................................Cost.........................---............--��----.... <br />Cutin ....................Pavement_..................X........................ <br />................ .......5�. Ft. <br />....................X........................ �� <br />_ ........................ <br />....................X........................ �, <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sy. Ft. <br />------ --- --- <br />Remarks ....... ....................................................................... <br />OcderReceived ......................................................... ................................. <br />',Vork Completed ............................................................................... ........ <br />Foreman <br />
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