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2613 PINE ST 2016-01-01 MF Import
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2613 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 2:36:12 PM
Creation date
2/24/2017 2:36:07 PM
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Address Document
Street Name
PINE ST
Street Number
2613
Imported From Microfiche
Yes
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5 1.Priebe�DI�4�5� � O , <br /> W.D Form) <br /> CITY OF �VERETT--Water Dept. <br /> , ,��, <br /> i ��.� �� ' <br /> Applicatien No...�C!.�._.......:. Date............:...�.::........._.......:...19.,.... <br /> Install,.......��.�..���-�� ��-•inc water se!v��:e pipe <br /> ': '� i' ,. � . '. ............. <br /> For .........:.:... .:.r....�,.�...:c_i:,:.:...::....::_^..::�J.............................. <br /> On -'G L?....--�--P�=.���.:.. .......................4.... Street <br /> .................�.... ,_. . <br /> �Block No....6_:�-----•............... <br /> Lot......... .._................_............. ............... <br /> '- :......................................... <br /> elddition .................,.:.............. <br /> ........�............. <br /> � ., , . _i:....:......:L..........._--•--.............. <br /> , <br /> Remarks ...............:...:....c..r.......,.�.:_?:..: i � <br /> •i _, ` <br /> ........ �1...V....f,.............................................................--- <br /> .... ...... . , <br /> �- p-�" : � i ..................................................... <br /> ....... <br /> ..................� . <br /> .....v. ... / Y�:.� <br /> /1 .. . <br /> ' ,�� /�!�/ '� `-` ....;::1..........:�...... ..........t---...... <br /> . ....._"'......""'-.. :; " <br /> % ..:... . �.L:....�.................. ' . <br /> ... <br /> , - , ' <br /> � � � ......�.ro..:_L...2...� <br /> - `�� .. � � � . ..................... <br /> ......:....�.:......., <br /> .r... . _ :.._...,.,.t<�.r......................... SuPcrintendent <br /> � <br /> —___ — <br /> � - LABOR AND MATERiA:. USED <br /> g�Sizr ___.___— ��----- <br /> _ ._.,__ — �—� <br /> ........,__........) Lead Connection Complete <br /> ............................ I <br /> , c;id��c Com�pletc <br /> ..................................................... • .................Pipc <br /> r � 3 r (7 n� �.... f._?.:.................. <br /> . ...._.... . . <br /> ........�..�:........tt............/��........... �.. <br /> � 9 -� Servic Coo <br /> ............�................./�.......... ..... <br /> I .�...�.:... Scrvice Bo� - .. <br /> ........... , - <br /> . �.......... _ ��n.. � , ..................... <br /> ............._ / . 1 C 7. -�..i......i..... <br /> .......�.............._ �� � ���.t.�._tr::�...... ........................... . "� <br /> ......��.._............ . '. ................... ................... <br /> .... � � •���,j ........... - _,[ <br /> k � !. J..�.�.a9..�.�.:.r.J.._!/............. ........... <br /> ....._.....�................:../3, -.3,. ..... ��..: - ..c:.. ' a.. ....:.,..:..... - <br /> r <br /> '-. .�... .-.'...5.`�.....{.4.:....S.L:: a.L .� <br /> � ,.... I� <br /> , ...-...... <br /> ............_�................. �,�:(........... �..:�F. 3f �...�......�:El... ' ! a a�f_'C:.......C1.:..i.._'... <br /> . ... ; .c..::.......1.....r� l.. <br /> � �. <br /> �.. .... ......... <br /> l. ........ :j" .o................. ,. <br /> _........... .. � � <br /> No. Hours LaUoc....................................._�:.Cost..`�..�.................._................... <br /> Cutm............._.._.P�vcment....................X........................ ........................Sq.Ft. <br /> ....X........................ ............... �� <br /> � _X......................_ ........................ <br /> . <br /> ............... �� <br /> � C. � ,� J�� .................. ., <br /> - ........................ <br /> � � � ��. �� ...................X....................... <br /> Totnl ........................54.Ft. <br /> ---__ <br /> ................................... <br /> . .................................................. <br /> Remar6s........................ <br /> ................................................................. <br /> ...................................................................... <br /> Orderieceived_........................................... ................................_.............. <br /> ..............Forem an <br /> �\'orl: Comp!eted............................................................ <br />
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