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116 W INTERCITY AVE 2018-01-02 MF Import
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116 W INTERCITY AVE 2018-01-02 MF Import
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Last modified
3/18/2022 3:30:15 PM
Creation date
2/19/2017 2:49:08 PM
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Template:
Address Document
Street Name
W INTERCITY AVE
Street Number
116
Imported From Microfiche
Yes
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Oar/ <br />-CITY OF EVERETT--Water Dept. <br />Application I Date ......... ........ i...... // .................... 7 <br />/ Install . .. . .... .inch water service pipe <br />i 7 ]/ <br />For..� - w.i:�: -Al- r..r.. �:r.�:.-r..:.:..............................._.--- <br />On.......... <br />Lot........................................... _..... _... �.n..�:t�r_-�C........... Street <br />....1.L.Cz........... / <br />.. .. Block No ............. .................... <br />Addition............... ........................ %.-......................... ............ ..... -............. <br />Remarks L'{- 1 r .`;wit: !i ...... ...__ ------------- <br />No. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................. Cost .... .._.._.......... ... _................. ...... <br />Cutin........ ........... Pavement ............... .... .................. _. ....... - ............... Sq. Ft. <br />........... X......... __.._...... .. <br />...................X.... .................... .. <br />Total ........................Sq. Ft. <br />.......... I ............ .'"-' <br />Order Received ....... -............ .......... ................... ........................ ._........... <br />........' <br />\Vork Completed..........................................................................Foree..--man.......... <br />
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