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1321 KOSSUTH AVE 2016-01-01 MF Import
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1321 KOSSUTH AVE 2016-01-01 MF Import
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Last modified
2/19/2017 11:09:45 AM
Creation date
2/19/2017 11:09:43 AM
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Template:
Address Document
Street Name
KOSSUTH AVE
Street Number
1321
Imported From Microfiche
Yes
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2� g �� �;�� � <br /> w. o. ron���Y <br /> 'CITY OF EVE�E:!�T—'�Xlater Dept. <br /> Applicatiou Pio.�..��...�...:,�..`L Date.................:�....:..1.......... ' <br /> ......19.... .' •-. <br /> j I�stall..... . ... .......inch wat�r service pipe <br /> �,_.... ...�. <br /> For �` </ � ��) <br /> J...:f.c....�._L.4.�........l..�(-..._.... /.Ll.:�:5..1.;.(..,..... ...... <br /> 1 . � � .�- <br /> Gn ........._�.t�_:.2f...........t."L.,.G..:�:�.4..:..../........................ Strect <br /> ( <br /> Lot.............................................................. block No..........................�- ...... <br /> .,.driion ......._...._............../..�/......................... ._............._..............._....... <br /> Remarks C L.>:�.:t _�� a_ r:�.«�............................... ' <br /> ............................ ..\ r <br /> ........................................................ .................................... <br /> _..._..._....__._........ ............-._ ..........................................._ _......__........... <br /> ...... ............................................... ........................................................�--�-- <br /> .................................................................................................................. <br /> Superintenfient <br /> LAROR AND MATCRIAL USED <br /> No. j Size I <br /> —.—_ __—__ _ <br /> ....._...................._...... _ I Lca9 Connection Complcle <br /> ............... .. <br /> ........................._.....................___ ciaddlc Completc <br /> .................._._ft....................__.... ......_..._........._._..._....._.................................PiPe <br /> ................._..................._..._......... Scrvice Cock <br /> ...__....................._..._................... Servicc IIox <br /> No. Haw�s Lsbor..................._...._..._.........._..CosL.................................._............... <br /> Cctin...____....._Pavemcnt...................X.............---......_ ..._.........._.......Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ... ...............X.........._............ �� <br /> . ........................ <br /> ...._..._.........X.............._........ ,� <br /> ........................ <br /> Total ......._...............Sq.Ft. <br /> ----�------------ — <br /> Re�narks..........................................._..._. .__........................................-- ....... <br /> .................................................................................................................... <br /> OtderRecciced............................................._............................................... <br /> lVorl: Cumplcted..........._. ....... ........._... ... . ..... ._. .. _.__.... . � <br /> ._. -_.... i�ormnan <br />
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