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1124 GRAND AVE 2016-01-01 MF Import
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1124 GRAND AVE 2016-01-01 MF Import
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Last modified
2/20/2017 3:30:32 PM
Creation date
2/20/2017 3:30:27 PM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
1124
Imported From Microfiche
Yes
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�i <br /> • � . n <br /> W.D.Form J IIkU 11.1611 ��'1�' '��. <br /> � <br /> CITY OF EVERETT-•.Water Dep� <br /> APPlication No. _....g..� gS Dnte .C.L.�_:_�'G 1927.... <br /> � Inst' , .'�i-�_� �. inch water service pipc <br /> For__ .. .. ' . <br /> _ <br /> pn.... �l �G -�'j��.�JI Street <br /> �' _...._ ....__ ..r� <br /> Lot..... __ _._ . Block No _�... <br /> ................................ <br /> Addirion_..............�...._..................... ............ ................................_..............._. <br /> ;..•- r, . .. <br /> Remarks................. � I <br /> .................'.,.....1.....4..::::...................................................................... <br /> .. . . ...................................................�....... .........._................�............ ............... .. <br /> .................................. ...................... ........................................... . .. ................................. <br /> � <br /> ....... .. ................... . <br /> . ....... .. .. . <br /> C _.. _... <br /> `�-7 . /_C� <br /> `�`�`- <br /> -- - s� i� ,i a-r'�//- <br /> --=- -_—=- -- =_—__---- - _--- . <br /> LABOR pA*D 1IA'1'ERIAL USIdD <br /> --- <br /> No. I - — -- � _ . . . . . . <br /> ----- -- Size � .. - -- <br /> �............. - - <br /> � , - - - - _ <br /> . <br /> . - <br /> --�--- • � ��`f . Lead Connection Complete <br /> ........................ ..!Y_X.�..�. � Sndd Con lete <br /> J .. � <br /> ........c�.Cy � . !Y .. ... .. ....�...�J. .:lQ.� . ...........Pipn <br /> .......... ............. 3 " ..................... <br /> '. <br /> � -� � ! �-71`-�� - - Sertice Cock <br /> ......._(.............. �.�...�..Q�:.�.. e/�ice Box <br /> � ........../........... J�.. � .... ��'Ga-,.�.cr..r4......... <br /> � ....... . . <br /> _ <br /> . . <br /> . .. ................................ <br /> ............................. <br /> ........................ .7..�._......... ' Q._YL-��i... -... <br /> 3 s ................................._................... . ........ <br /> ........../............... �. _.Y..........,. �rJ.e..._:......"...._............. .......................... <br /> 3 � � .................................. <br /> .........1............... I._r...x....'r. <br /> _�. . .C.l4Y.................. .._......__..............__..._........_ ._. <br /> —____ _ I <br /> --_.__-_____ ___ <br /> —___ .._ <br /> No. Hours Labor..............�.�. � �� <br /> ...... ..cos�.!_7...:.-.......................... <br /> .. ._. . <br /> Cut in........--_....._...._.P:ivement....................R.................... . ......._...........Sq. Ft. <br /> ...................R........................ . �� <br /> .............. <br /> ; .................._;i...................._.. ..__ � <br /> .................... <br /> ....................X....................... .� <br /> Total ....................5 q. I�'t. <br /> —- — -. <br /> - -- <br /> 1 --= <br /> t � .narks ,Y1.5.Ca'1:,; � <ZG� �C.7' <br /> ,.._ . , _.,t <br /> _._.. <br /> ..... . � '� "� ✓(.2 Gt� . <br /> _._ . _..... <br /> � ...._.._.. ...._._... <br /> ._. . _.._ ... . . .................. <br /> _ ..._.. <br /> _..._. <br /> .':( lCl'IVC:� � <br /> Complcred • _ . . � �.`, _ _} <br /> � ""y� Y L l-1-E.�'c. ( <br /> F rcm.n C <br /> _rr+ . <br />
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