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2111 PINE ST 2016-01-01 MF Import
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2111 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:39:50 PM
Creation date
2/24/2017 1:39:41 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
2111
Imported From Microfiche
Yes
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. _ � . _ ; <br /> �}-8 G < < ,,� ,, ,, <br /> �� � <br /> w. o. ronw � <br /> CITY UF LVERETT--VUater Dept. , <br /> �,( � ; . �-; « ;� � <br /> Application No�.!....�1_1-�...� Dat ........�.0..............................19.---�_, <br /> v-� 7nsta1l ...-.�..��...........inch water service pipe <br /> --, . <br /> .� Q��: z,- <br /> , <br /> For �-' ' " <br /> ..................�...................... .............................:..:..............................--------.. <br /> � // � �'L" . ,_. �---........ Street <br /> On ' <br /> ..........:...:.....................t,:....,:�............................................ <br /> Lot...............1.......................................... Block No.................................--•- <br /> Addition�.... .................................................................................................... <br /> Remerks� • � <br /> . :,..�................�.✓:.:.:._..............:.....:.��.................:..:.........:....... <br /> . �_...... .. _ <br /> .. .. <br /> �;.�...: . :. ........................................:...............::.....`... ...............---....... <br /> � � � .. ............................�---............ <br /> ............. .`1........:.�..:..... . ,t...._f�....--�--�............ <br /> ........... ....1... ..... ...../................................................... .tiY....l.`..3�.:...�:�f:..�. �/ <br /> 1 <br /> � ' � Superintendent/� <br /> 1 <br /> � j LABOR AND MATERIAL IISED � <br /> ....No. � ...Size � <br /> ,._. .,,.,.,,_,,.... -r�ead Connection Complete <br /> ......................................................� Saddle ComPlete <br /> .- : .�......................................Pi <br /> .............:7 7 � -r � i. <br /> J......ft....J ...4.............. ...._.:C_....�..x.�:....... pe <br /> � ���' ....... SetviceCock <br /> .....................:..................... <br /> � , <br /> .....................1............................... Sercice Box � <br /> f.................................................... ................................................................................................................ <br /> No. Kours Labor.............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> � �/ _ � ....................X........................ ......._............... �� <br /> -� , , � :c i i, ., . <br /> ' .i - . <br /> ! - ....................X........................ ........................ �� <br /> , <br /> ....................X..................... �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------- �— � — <br /> �i ,� _;. <br /> Remarks..............%._.f..�. .......-..a...:!..�::..t......_........._................................ <br /> � , „ <br /> .......................:..7..__ ..:��....,.!._�::.:.:.�.:.....�.�..:�:.:...:.................................... <br /> ...........................::7.._..�.:a^.�..�..�_.................................................................... <br /> , . ........................................ , <br /> Ordk Comple ed././.�.r....�...`.(a�..........�.:.::...1..,-.:'..:.:;..�...:.................. � <br /> Foreman� <br />
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