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2921 PINE ST 2016-01-01 MF Import
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2921 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 2:55:28 PM
Creation date
2/24/2017 2:55:24 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
2921
Imported From Microfiche
Yes
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9G � - � _ � - <br /> 9.'d. PP�cvr']M 1 <br /> W.V. �ORMr'J <br /> GITY OF E�'ERETT;�Water Dept. <br /> y^� �� �,� , , . ..�9� <br /> . <br /> Applicaliu�tNo..-.........°....... �Date.................).:....... ..�...... .. .. <br /> Iastall......�'k-���-•-��������•i�tch water service pipe <br /> ; ............. <br /> Fer ..................C............................... .............._............._.......... <br /> �'�—� '.............................. Street <br /> � � /...........1.............. ...... .. <br /> o„ ....................I. . <br /> ............ <br /> Lot............................................................. Block No..................................... <br /> �d�lition ..................�....................................(/i....... <br /> .. ..:��L..1...1-..:L`A1::1�....................................... <br /> r.emarks��.....� :•.. <br /> .��::'r.........................................................................�_.................................. <br /> � , . <br /> ................. <br /> .....: <br /> ��.................... <br /> .. ... - <br /> � _ .�....... <br /> . , <br /> � , ��JC����� c_� <br /> . .................................... <br /> .............. � <br /> r ...... ..... , <br /> ................... <br /> � ............:.�............................................... <br /> _ �•� <br /> _ ... <br /> ..:............................ t <br /> Ji ...................... i SuPerinlen <br /> �.........,.�t.................................. - <br /> 1 (r I • r��� ,i.�--'� —�- <br /> c U <br /> ____---- <br /> LABOR AND MATERIAL USED �� <br /> Nu. Size � <br /> --�-� ,I Lead Cor.nection Complele <br /> ........................... �addleC�mPlete <br /> ..................................................... <br /> . ......._._.... <br /> ..............'-......................................P�pe <br /> .......................... . <br /> ....................... t.. Scrvicc Cock <br /> .........._............. <br /> ........................... . ......... Scrvice Box <br /> .................. <br /> ......... ................................................. <br /> �—�� <br /> ......._...... <br /> ...... ....._...... . <br /> . . <br /> ...........................Cost......................................._S4.Ft. <br /> No. Hours L�bor................... ........................ <br /> Cut in.._.._...._..._Pavement........_..........X�.__...._._......_.. ........................ .� <br /> .................... �� <br /> ....................X-...................... ........................ <br /> Sq,Ft. <br /> ....................X....................... <br /> Total ...................... <br /> --_ <br /> -��-------�-__— <br /> -- _ <br /> �._- -� -- . .................................... <br /> , <br /> . ........_ _......... <br /> $�178 S 1+.5...... ._._............................. <br /> ........................................ <br /> QTC�C'e :''.iCCICCj........... ........_.........._.........................................................-.- / <br /> \vork Comcicted.................................................... <br /> ......................Fo reman <br />
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