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3316 PINE ST 2016-01-01 MF Import
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3316 PINE ST 2016-01-01 MF Import
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Last modified
5/3/2017 3:26:27 PM
Creation date
2/24/2017 3:40:22 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
3316
Imported From Microfiche
Yes
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e..i. nni-ee�n� r/ � O . . <br />W� �: r�� . 1TY OF EVF,RETT--Water Dept. <br />Application No..�l_P.%.4....3D te........�.`- ...............��...'..7.._....19.s3 <br />7nstall....... ...� ..............inch water ser��ice pipe <br />Fa�� ..................f..�...�....._�.:-1�..........................---........................ <br />l <br />On .............�----.._.3,3/�a.-.......f✓..�n-!,..._............._........... Street <br />Lot....._�.�.�...—..?r.T.:..i:-_i:�--=•---- 3luck No........s�.'.6..3..- ............. <br />Adclition..................................................r.,;.........,�....i..................:,....�..... <br />� � •` LABOR AND MATERIAL DSED <br />.._ ................................... Lead Connection Camplete <br />..................:................... Saddle Complete <br />�.- ., . <br />� / . . . .'� l f : ' r . <br />.....•.St. .......J ................... ......... .�.......�..ti.......................... <br />,.....1........_ ::.:..: ............. Service Cock <br />......:.........:.�....:.....,......... Servicc Boz <br />No. Hours I,abor ..............................................Cost................................................... <br />Cutin ....................Pnvement....................X......._............... ....................... �q. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................R........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />---------------- —= <br />--- <br />/ ', . <br />Re m a r }: s ........... _ _ ..... _...... s:... _.c.. � .:.......:...:...:.:.:.............'..: a ..:........:::...: _...... _ . <br />_ . ...........................................::::i.i.t...,........: .....e.�.,.:.:........................................ <br />OrderI[eceived..._ .........................................................._... _..._................._ <br />\Gork ComFleted....i:..c.l. �..:_�..� ............................_.:jl:�.;.:C._>...�.:..;.-•:-'\ <br />Foreman <br />
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