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1502 PINE ST 2016-01-01 MF Import
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1502 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:18:43 PM
Creation date
2/24/2017 1:18:35 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
1502
Imported From Microfiche
Yes
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, ..�..��a��,�3/4� G . _ �-���y <br /> w. o. ronw a <br /> CITY OF EVER,ETT--Water Dept. <br /> Application No%jl�..�....6... Date............Y.t:'.�..:��...........191c..�, <br /> Install.......:�5./...........inch water service pipe <br /> G�L*�::z.�.....6"........��.K.i�.................................._".... <br /> For ............... . <br /> On ............./a�...JC.'.:�-...��.��.r_�:s-:............... <br /> .............................. Street <br /> Lot..............................................•--....----......Block No.......---.................-•--...... <br /> Addition ....�cc.v:,u.��r�.... .... ............................................. <br /> Remarks .........-/.Jr.<-«t�.`.----�a�.sr,��...<............................................ <br /> ...._.._. �c-iyx-� - �r-rr-`�-�::1............. <br /> .. ................................................................................................ <br /> .....� .........._...._....._.._... <br /> ..'-'...... .:. .:.. <br /> ....... ......... � <br /> ...........�................... n <br /> ..... ......... <br /> ........."""'............................ <br /> .... <br /> � ' N�J . �..�..lt�:t..-t� <br /> J . <br /> .'. �....V........................................... <br /> ..........:................:... . SuPerintendent <br /> j�� yJz �� <br /> ��- �j�-�� LABOR AND MATERIAL USED <br /> i,. <br /> No. Size <br /> .................... <br /> ....................._,........ :..ead Connection Complete <br /> ...................................................... Saddle ComP-=te <br /> � � '�� ' ............ .���. .'L:l......................................................PiPe <br /> ..............�.......tt......:.:....... � <br /> ................ <br /> ........'.............:............... Scrv}ce Cock <br /> ......................._.. <br /> ........................... Service Box <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin......... ..........Pavemenl..............._..X........................ ........................Sq.Ft. <br /> .. �� <br /> ,.� �,. �, i< ,. .. ..............._...X........................ ......._............... <br /> . ' <br /> - .,� ....................X........................ ........................ .� <br /> ....................X........................ ........................ <br /> .� <br /> Total ........................Sq.Ft. <br /> ---- <br /> '. 1:_.:..._._................................................................... <br /> Remarks.................... .._. <br /> � <br /> .�......Lt • ....: .......,.,.. .................. <br /> ............................... .._. ..:....-... � .............. <br /> .,,.,�....:................................................................ <br /> ...................................................... <br /> OrderRecei�•ecl............................................................................................... <br /> _:....:..:t..r:+...�......_. <br /> �Vock Campleted.��.'.:.'. :'......�::�............................... . Foreman <br />
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