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2521 JACKSON AVE 2016-01-01 MF Import
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2521 JACKSON AVE 2016-01-01 MF Import
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Last modified
2/19/2017 9:48:05 AM
Creation date
2/19/2017 9:48:04 AM
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Address Document
Street Name
JACKSON AVE
Street Number
2521
Imported From Microfiche
Yes
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��� � � , , <br /> w. o. roa v <br /> " LITY OF E'V�RETT--Water Dept. <br /> Appl;cation No._:�.::......:...: ...: Date...................:1........:.............._19...... , <br /> , , / <br /> Install.................... inch water service pipe <br /> For �' �. � � .. ....:...................._................................ <br /> .......:._....... — �� , <br /> _ ._r..�..__.....,,..._ ... <br /> On ........_.'._::.:.::'_l........-:..�..%:�.�....:...::.._..._.._........................ Street <br /> I,ot ........................... -- ._...............- . Block No..._-._.........................-- <br /> �rlr_lition ..._........................... �/ :-....- - ........._........,.............................. <br /> � - <br /> R2marks ...................... .._.._.....r....,:..........:..__...:...--.....:..:..................--- <br /> .................................................................................................................... <br /> _............_.__................................... -- .......................................................... <br /> _............_..-- ................................................................................................ <br /> ._.................................. ..........................._................................... -..... <br /> Superintendent <br /> LABOR .1ND MATER[AL USED <br /> No. i Size I <br /> -— -- --- <br /> ....................._..........._................I Lead Connection Complete <br /> ..................----......._...._................ Saddle Cemplete <br /> ......._..............ft............................ ........_..._........_.........._......__.._.....................Pipe <br /> .....__................_.......................... Servicc Cock <br /> .........................................._.......... Scrvice Box <br /> No. N.ours L3bar..............._.............................Cost............._.........._-.........._........... <br /> Cutin... .......___._Favement....................X........................ .................._....Sq.Fl. <br /> ...................X........................ �, <br /> ....................... <br /> ..........._......X.........._............ �� <br /> . ....................... <br /> ..._...............X............._.....__ �� <br /> ........................ <br /> ._ <br /> Total ._................. ...Sq.Ft. <br /> — -------�---- �-- <br /> Re m a r F:�............................................................................................................. <br /> ........................................................ ............................................................ <br /> ................................................. .................................................................._ � <br /> Order ??ecei�•ed............................................................................................... <br /> \Vork Coml�ic.ed__..._.._..............__.. ..__ _....____......_..............__....__. <br /> Forcman <br />
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