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2120 JACKSON AVE 2016-01-01 MF Import
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2120 JACKSON AVE 2016-01-01 MF Import
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Last modified
2/19/2017 9:28:56 AM
Creation date
2/19/2017 9:28:52 AM
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Address Document
Street Name
JACKSON AVE
Street Number
2120
Imported From Microfiche
Yes
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- - /4 9S3 -- - �� �� , . <br /> w. -. roarn9 � <br /> CITY �F EVERETT—`�Xlat�r Dept. <br /> � ; r � � <br /> Application No.l�.�..�. ..� Date.._.......':.�....._L....................... 19.U?_,� <br /> �� �I�stall.�`�ra�` ,� ,i�;ch water ser� .ce pipe <br /> . ......... <br /> ) [ / _... . <br /> �l......�./......�� . , . . <br /> For ....J, . . ......_................._.............--- <br /> On .....:........ ' �................ Blocl:........--................. Street <br /> i,ol............................................ No..... ._...._.................... <br /> .lddition ._......__............_....................................._..............--._......__. <br /> Remarks ............._---///' - � ----....... . . ... <br /> . - <br /> .......................................... <br /> ........._...._...._...............L:E.�..?.3:��5��-Ct._ �L:Z:�_.........'.'.......................'.-'-' <br /> .....................................'.."..�.'.......'....................................................................... <br /> _........_......................................................._......"_'......................._"_....'_.......... <br /> ....._..............................._.... ._.._.........._....._.__...................___.........._........._' <br /> Superintendent <br /> LABOR AhD hiATERIAL USF.P <br /> No. i Size I <br /> —.—_ -- — <br /> ._........._..........._I...........................i Lead Connection Comp]etc <br /> _..._.._............__...........................' Saddlc ComPlete <br /> ___...._...........ft............................ ...._..................................................................Pipe <br /> ........._.....__..__.._........................ Scrvice Cock <br /> ....................._............................... Ser�ice Bex <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 /> OrderReceiced. ...................._..................._........_................_...................._ / <br /> \Vork Coml•1c,ed.............__............_......_......._. ._ ....___ ..._.........._......_. <br /> Fareman <br /> ^ <br />
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