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5109 W HIGHLAND RD 2016-01-01 MF Import
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5109 W HIGHLAND RD 2016-01-01 MF Import
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Last modified
5/8/2017 3:49:41 PM
Creation date
2/20/2017 9:54:43 AM
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Template:
Address Document
Street Name
W HIGHLAND RD
Street Number
5109
Imported From Microfiche
Yes
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w. o. ronr+(� � � � � <br />� L' I- <br />CITY OF EVER�TT--Water Dept. <br />, <br />Application No./5..../J..��.... Date.....:..lL��/.1.....�..� :............19_�� <br />lnstall..........�`..._�' .........inch water service pipe <br />� _, / �/` -y-- <br />Fo3���'.f.�, �. �Z�.t.��.�.Lc..::._Y....+�/-�f.��.:u.,.::Lt:.n:...�:` ...:......................... <br />l CY. S :.f: � .G. �i�.,. � r / <br />On ....................S:..l.......L%._.�...: . �f �'.,.�...s/i..... Street <br />Lol.......__...,`1.�.3 ...................................... Black No..............------............... <br />Fdciition.......................................................................................................... <br />Rem/arks .....................................:.................................................................... <br />d.�::iL;a....C.l.<fc.l��..-=-��10��,>« _ <br />.............................................................. <br />� � / <br />.. . . -,���.. i� <br />9` � <br />_, <br />' E:.; _� <br />'i!� _ri -/� .I ( <br />I�ABOR AhD M.ITCRIAL <br />No. j $iie ' <br />................ ...........................I <br />.................... ...... ..... ..... ... <br />..... :.....f t . .................... _.....I <br />......... ....... .......... .._:.... .... <br />Lcad Conneclion Complele <br />Saddlc Completc <br />_ _ ..................... _.. ... _......... _ .... <br />3crvicc Cock <br />Scrvice Box <br />................... <br />A`o. Hours L�bor ..............................................Cost.................................................... <br />. Cul in ...................Pavensnt........._........X...._..............._. ........................Sq. Ft. <br />' ....................X........................ �� <br />....... _ ............... <br />� ....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />Total ..................... .Sq. Fl. <br />_-- �---...-- --------' <br />Re�narks..._ _ .....:...........�....:......._............................................................. <br />.................................................................................................................. ... <br />............................................................................................. .............. .......... <br />OrderReccived ...................................................................................�... <br />\Vork Completeci ...............................................................................__........ <br />Foreman <br />� <br />
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