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5127 W HIGHLAND RD 2016-01-01 MF Import
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5127 W HIGHLAND RD 2016-01-01 MF Import
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Last modified
5/8/2017 4:51:12 PM
Creation date
2/20/2017 9:54:59 AM
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Template:
Address Document
Street Name
W HIGHLAND RD
Street Number
5127
Imported From Microfiche
Yes
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n <br />-:�.=�' � OD 3 <br />_�_ <br />1� ���5 <br />�Water llept <br />v�l � 2 ' <br />Application No.�`Rf-�""�.-.... Date............3.. �-f ......................1�:� <br />Install....... �Il .............inch water service pipe <br />�� lc c� �^ 3 . ,. <br />I'or %��.�.-...�-ax�..l4�i�i. k..... �.�``.»'.-• .�:r.�:....._ ................ <br />.......... ...... <br />�ri ..........�.��...�z�....LU, /t�y.�.le=J` ...................................... $tL20t <br />Lot............�-r.� ......................_.................. Block No.......................---.........-- <br />Adclition ..........F.�cs..<.. �::«�Y..... =:t-,��......-�.— ............................ <br />Lemarks..../1 ....... ................_.._......._.................................................... - <br />�l <br />LABOR AND MATERIAL USED <br />.................i Lcad Connection Completc <br />................. S�ddlc Complele <br />. , � <br />................. ...4..........1�:..._._............._........... <br />................. Scrvice Cock <br />............... Servicc Bux <br />No. Hours L�bor .............................................Cost.................................................... <br />Cutin......._...__....Pavement ....................X........................ ........................Sq.Ft. <br />" � ....................Y........................ �� <br />. ........................ <br />.. . . .; . � _..__..._.......Ji._ ..................... �� <br />........................ <br />. .............X........................ ,� <br />... . ........................ <br />Total ._ .............._.....Sq. Fl. <br />�, <br />_ . ................_ `,....... <br />..................................._...........................---------.__..__--.__ ..---- -------- <br />OrdPr'.7 eceiced ..................................................,..._........................... ........ <br />, . �-i :, % . . , . <br />\Vork Completed `��.::t.' ::.! ::.......................__....... .........,...................... . <br />Foreman <br />Y <br />
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