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1516 PINE ST 2016-01-01 MF Import
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1516 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:22:15 PM
Creation date
2/24/2017 1:22:11 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
1516
Imported From Microfiche
Yes
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9. J. PHI[BCS�� � �� t y L�L! !J� <br /> w. o. ronH a <br /> � 'J �7 P <br /> CITY OF EVERETT--DUater Dept. <br /> Application No..�.� .. ._ ��.... �' ",� ,y <br /> � :f'.7 Date...........C..:r:�.�....... ..............19:� <br /> Ins/tall..........:�_.......incli water service oipe <br /> For .............�cl.,.+�-t..:��:.�:-.r.:.�:.:-............................---.....-----............ <br /> ✓ <br /> On ......la��....,�'a<:�a�..................................................... Street <br /> Lot.,-t,.c.>.f�'.GZ�C!'........................ Block No.............----•--.....-----....... <br /> Addition .......................................................................................................... <br /> Remarks ..1�llu.'-...;�g.(��.••....•-.- <br /> ..... ........................................... <br /> .............. ''... ...........---....................---............................................................ <br /> �;.,. M1 <br /> .........n.......y.:......,o.r....�...�..... . . . <br /> �&' � �.':...1.. ��Y�`/......................................_""'_"""".......... <br /> ........f...... ....:......... .........G�,.....................---..................................._....... <br /> ...... ; ,�.�,:? .�..�:�........................._..._�..�1..�.�..-.-,H:y�.---..... <br /> �+i� `S9 Superintefident <br /> ��/S lii <br /> LABOR AND MATERIAL USfiD <br /> No. Size <br /> --- — <br /> ..................................................... :,ead Connection Complete <br /> ...................................................... Saddle Complete <br /> ............._.�:....St..............:............. ........................................................................Pipe <br /> ................................�'.....:�.............. Scrvice Cock <br /> ......................_.............................. Service Sox <br /> ...........................I........................... ................................................................................................................ <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin.........�..........Pavement....................X........................ ........................Sq.Ft. <br /> _ �� <br /> -. 1 � . �. , � . . ....................X........................ ......._............... �� <br /> i . � <br /> ....................X........................ �i <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- --� — <br /> Re,narks.................._ -, . <br /> .................._::....:.............................................................. <br /> ................................................... ..................:.................:............................... <br /> ................. .........................:..........:.....,............................---.............._------_. <br /> OrderRecei��ed..................................................._...;...;.................................. <br /> � ...... ----�.:..' / <br /> - r; <br /> \Vork Completed..�..:...: _.`..:.:.__t...�. .. ,_1:L..:.:......................... <br /> Foteman <br />
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