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3210 PINE ST 2018-01-02 MF Import
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3210 PINE ST 2018-01-02 MF Import
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Last modified
2/28/2022 12:50:36 PM
Creation date
2/24/2017 3:32:54 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
3210
Imported From Microfiche
Yes
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W.. 61: T lip F EVERETT--Water Dept. <br />Application No..&...3....... Date....��:.:..: ' _.............. I...._19....... <br />Install...........Y— ...............inch water service pipe <br />For.. ......................... _............................ <br />:............................................ <br />On............1Street ...............................I.....---..................... <br />Lot.............................................................. Block No ..................................... <br />Addition.................................................. ................. <br />Remarks................................................- - -- - <br />• LABOR AND MATEPIAL USBD <br />Sire <br />1. <br />Lead Connection Complete <br />S�le Cppip <br />.......Z..._ll ":-�.� _�....t....................................Pipe <br />rvico Cock <br />Service Box <br />No. hours I.abor..............................................Cost.................................................... <br />Cutin- ................. Pavement .................... X .......... _........... ........... _........... Sq. Ft. <br />.................... X............ ........... <br />.................... X............ ........... <br />........................ <br />Total ........................Sq. Ft. <br />............. ........... ....................... .......................... ......... .............................. _.._....... <br />.................................................... .............�--...................................... _........... <br />Order Received........... <br />P: ork Completed ............... <br />............. <br />Foreman <br />
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