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2723 GRAND AVE 2016-01-01 MF Import
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2723 GRAND AVE 2016-01-01 MF Import
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Last modified
5/1/2017 7:26:14 AM
Creation date
2/20/2017 7:55:46 PM
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Address Document
Street Name
GRAND AVE
Street Number
2723
Imported From Microfiche
Yes
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W. D. Form 3 lOW 11.2P <br />CITY OF EVERETT--•Water Dept. <br />Applicatiun No....9U.�/.3... L`,?te. �r3 1� <br />/-/y Install 3 y mch ���etu s�rvicc pipc <br />For 0.���I . C.. ..L� � _..__ _.__......... <br />On. v�7a13..��- _. ---Sttcet <br />Lot........._._ ................. __..._.._....._...Bloc'c No. _ .... _.. _........_......_.. __ <br />Addition. ___ _.. _.__ _ _. _....._ _._....._.__..._........_ _ .......... ...._... <br />Remarks__.__....._.._......_...__...._..._ ..__........__.._. _...... .._.._.....__.. <br />_._ _ ._......__. ___. ...._ ...... _ _ _ _ .........._ <br />__...... _.. _. _.._.......... . _.._ ................. .._ _......_......_ __... .._... <br />...._.......__ .. .. ....... .......__.........._.._ _ _....__.........._........._ _ __. <br />` <br />�_, -�. 1_ _.... . �- : ,�� �,3,� <br />_ uo�en <br />. ,:—_ —_— _ __.:"'_"—.— .._—'_ — --- - . .— --:— . <br />I,ABOR AND MATERIAL USED <br />— �--- � -----------------�----- <br />No. ' Size �I <br />_ . _. � 3�'%•, ��};cJL Lcad Connccuon Compkre � � �� � � � � � � � <br />..._......... . <br />..____.�....._....... .3�.Y..k 6 •.. i Saddlc ComPletc <br />_.../3_.. rc._3.:y`. '`�.n.�,�:...... _. _ _.e��,� <br />`?�y � Scrvicc Co.k <br />...__. ..� ..._..._ _ `. . <br />.. __.._� ...... �.:..� ... Servicc Buz <br />. _.._. __ .......... ....... .. i ........_.. __.._........__..........._._._......___ ................._.. .__._.._. _................ <br />. . _'.' __"_'__ ____ <br />No. Hours La6ur._._..._.._. .....__. _.........Cost_......_...._ ....................... <br />Cut in ..............__.. _ Pavcment_. _...._......._.� . ..._............. ........... ...._Sq. Ft. <br />\ .... ,� <br />.. ...... .__" .. . . . .........._. _ _.... <br />_. . _..._ �..... ._...._. .� <br />, ... _. __._ _.....__....._. <br />� .. <br />. . _.. ......_ _.. ... . <br />Totnl . ...._.........._Sq. F[. <br />Rcmarks �:� � i i: �� .: L��� -. <br />_ ... . _.... .. ... ......... <br />—L! � . _... <br />............ 0�::..� _Y ...r.4:�� J� L_..._ ................................. __.........._... <br />... . _ . __ <br />� <br />Ordcr Rcccivcd .. __ '/ <br />Work Complctcd _.. L F..� (_`��(:.£:, • ' , <br />Fo mm <br />
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