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4012 HIGH ST 2016-01-01 MF Import
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4012 HIGH ST 2016-01-01 MF Import
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Last modified
5/5/2017 2:26:26 AM
Creation date
2/20/2017 9:16:27 AM
Metadata
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Template:
Address Document
Street Name
HIGH ST
Street Number
4012
Imported From Microfiche
Yes
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i <br />W. D.Smm 3 `IODD�M.31 „t • *.—• <br />aCITY OF EVERETT-•-Water Dep� <br />y':.. � <br />e/" .5 r <br />Appllcallon No..D_v_ ✓�T...:: D te _._ .�. .. _.. 192.�..... <br />- � .� <br />' Install... ' ._ _ "✓.. ....in water service pipe <br />For 7?'11�/i,. 4 �i � _ ' _ <br />On...... �'�'�_�.y._� ... . . ... . _....Street <br />Loc...._ ......................... ..1..!r�-'._ _... ock No..._ _...�-_ _..... ......._................_...._ <br />Addidon.........................................__ ......... .................... ...._ _............__.......... ......._.. <br />Remarks............................................................................. _.........._........._..................... <br />................ �......... <br />_ .._ ....................... . .........._......._ ...... _ _...._.. _ _..._....... _............. <br />.......�.:.�.�....... __. . .... .. <br />............... ... <br />s� d . <br />_�=_ — - _ _ _ � -- — � <br />LABOR AND !ItATERIAL U313D <br />--- -- -- . ._---- ---- <br />- -- — <br />�ize _ I <br />-- -- ---._. _..'----- � . <br />�'✓...._.. Lead Connection Complete <br />.. v__.. Seddle Coy�plete <br />a/._ ........ ............... rJ_�................flPe <br />"'� � .�- Service Cxk <br />� <br />.A�:!�.•. Service Box , `, <br />No. Houra I.abot............4 ...........................Cnst...., <br />Cut in ..........................Pacement....................7t..... <br />...._...... .. _. <br />...----......... _.._..._. . <br />....................Sq. Ft. <br />.................... <br />....................R........................ �� . <br />.................... <br />....................R ....................... ., <br />.................... <br />Total ...................s�. Ft. <br />Remarks . _ _.... <br />_.._ .._.. . ... _ <br />_...... ,_ .. _. _ _ _ . _ ____....._ _ _._ _._ .................. <br />....... .. ...... . .. . /� <br />Order Received J . <br />� 7- � � 2f _ _. ....... <br />�— / <br />Work Complcted �a.. - y � � _ _r(L 2.6J -j <br />/ Forcm�n ._ � <br />,c. iti.i <br />� <br />
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