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4001 GRAND AVE 2016-01-01 MF Import
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4001 GRAND AVE 2016-01-01 MF Import
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Last modified
5/5/2017 1:36:41 AM
Creation date
2/20/2017 9:15:49 PM
Metadata
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Template:
Address Document
Street Name
GRAND AVE
Street Number
4001
Imported From Microfiche
Yes
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6 G pp10� �OM �' O � �1 ✓ <br />W. O. /OI�M ] <br />� CITY OF EVERETT--Wa er D�pt. <br />6% n � Date.......�� � .19.....3 <br />Applicatian No ........................ ._`5.................. S <br />Tnstall.. �1 �.� ................. .mch water service pipe� <br />.. ............. <br />For ..........._........_ ............,...L................_..........._, �---.....----...... .. . <br />On.......................................�.6.��..............1---....................... Street <br />Lot........................�.....................---•-----...._.. Block No........_........................... <br />Addition l • �-•��� � <br />.......................�-� ................ <br />....... .............................•-- <br />w ...... � <br />F.emarks .......................... ....... .......:...... ............................................ <br />. <br />%�, <br />�LL'� ... ...................... ............_�.... .....---...--•----........... <br />........................ �� <br />...........................-..................._ ......:...:.::_�2 k:�..............................-- <br />..................... ._ �� .... <br />.. ........... <br />.._.._� ...........I ......_�I ............ i•----- ............... <br />/3 , " C_ o /` � �� • ctyn,�.---•-•�-- <br />.................................... ..... .........�........ <br />'� ....................... �� Superintendent <br />� --.� d - i'j <br />No. <br />LABOR AND MATERIAL DSED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />... ...�.....,..u..as. G. <br />.. . .% y�� ............................................................._.................. <br />... ........... ......u................................................................ ............. <br />� .... ........... . . . <br />; <br />� . . .:�.a���� <br />No. Hours Labor ..............................................�osr............. <br />Cut in ....................Pavement....................X......._............... <br />................... X....................... <br />....................... Sq. Ft. <br />m <br />..................... .. <br />........................Sq. Ft. <br />Order Peceived ............................... <br />, ,:.. .; <br />\Vork Campleted/.....'":i::...`..::._�:.. <br />Foreman <br />
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