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2216 PINE ST 2016-01-01 MF Import
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2216 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:57:36 PM
Creation date
2/24/2017 1:57:31 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
2216
Imported From Microfiche
Yes
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. ., <br /> W.D.Fo�m 7 iom n.iaa� . . <br /> CITY OF EVERETT•••water Dept. <br /> �{ �-� ' ,:, , , <br /> Dacc / A..f_' � 192 .:..:. <br /> Application No. � _. . - .�.� <br /> Install� mch waccr service pipc <br /> �• _ <br /> For _ . .. _ . , <br /> � .�- (_ �. ,�-t�_. . ..._..,.....Strcet <br /> On . ... . <br /> ' <br /> - _ Block No......_... . <br /> � . _.... . ...._. <br /> Lot _ ....... <br /> -_�f <br /> 1 <br /> Addition ._..........__ ... _.........................._.... ... .._...... ...._._. <br /> , ... <br /> ' ........ _...... <br /> Remar s................................... <br /> .................__...... <br /> _._....... <br /> _ ......._.._....__........ .........._ ..............._...... _._ ..__.. <br /> ......._._._.._........ <br /> ......_ _ {,_ � <br /> ......... ... <br /> _ <br /> __..._ .__ ....... ._. ._.. <br /> _ __..�� �`:�...!�'.Q-''v}�;�;�„w��1tu_.�-����'�'Yl-Z <br /> ��'Q <br /> ` _.__. <br /> - .�___ _--.. _. -- ._ <br /> �-- -- ---�=-�LABOR AND \IATERIAL CSI•:D <br /> - <br /> ---- -- --- ._ . . . . . <br /> �u. _ Size . - .. <br /> 7 �J ___._ _ <br /> .� . ..__I y._�-,�Jf.irr Lend Connection Complete <br /> ...... <br /> N — <br /> .......... _ i-......-...._.. .� Seddlc .C�nPieto <br /> ...........�,.'0......ft.'. .. 3�H......_. . ' ..��.i..�(:r.............................._Pine <br /> . <br /> '�w cervice Cock <br /> 1............ �..... . ._..... .. <br /> ............ , <br /> � ' L�7�...��r� , Service Bos r <br /> ..........................�............. ...... ..... <br /> ........................... .....................,........................................... . <br /> _......... <br /> __ _ <br /> . .............. ....... ............................................... . --- -- - —_ . <br /> ......................... <br /> - -- -----R��- <br /> .Cost.._^...._�.................................... _. <br /> No. Hours I.aboc...........1...................... - <br /> -r.-........_Pnvement....................X........................ ..................Sq. Ft. <br /> Cut in........_ ,• <br /> .................... <br /> .................... ........................ .. <br /> • .................... <br /> .................._\................:....... <br /> ....................X....................... ................. <br /> ., <br /> Tocnt ................__59. r't. <br /> __ —_ . -_-.— - <br /> -_— <br /> _--.. <br /> -- � <br /> . �tptrria� SIiP ",.�� �yd ..:, .. . <br /> Remarl.sG�,L , ' y <br /> .. .R".L.�'�. 9-:✓L'7�J/L.-f �.. .. .... ._. ..--. .. _. ._'/ � <br /> . ...__. . �� , <br /> � .__. .. . . _.. . . . / ... .. . :; . <br /> Ordcr Recc�vcd i-vl � � .+ <br /> lJt �..�g-t.t....y � <br /> Work Completed Fcrcmm c� <br />
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