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4936 OCEAN AVE 2016-01-01 MF Import
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4936 OCEAN AVE 2016-01-01 MF Import
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Last modified
5/8/2017 12:28:55 PM
Creation date
2/25/2017 2:11:03 AM
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Template:
Address Document
Street Name
OCEAN AVE
Street Number
4936
Imported From Microfiche
Yes
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a. �:�Pw,�a�- � 388 2 + - <br />w. o. ronw a � � <br />CITY OF EVERETT--Water Dept. <br />Application No....=..:?.�.�...�;.�� Date........�CC..._�..196i .................19....._ <br />I�stall ...............................inch �vater service pipe <br />, _ , <br />, , � <br />For � � <br />..........::.... .::.....�.:'n..!� _�:f.:..................._.........................._.................... <br />On .................... <br />/..?..:!..:'�.1;.:.:(..Y._�'..!:.% ......................................... Street <br />Lot.................................... ......................... Block No........................ - -.....-�-- <br />.4d�lition .............................. <br />� � r....�..�'/ ..............._.......................................... <br />,, <br />Remarks � �' ' � �-�� � '" + � � <br />..............::....:. ......:........ . ............................................................... <br />_ ......... .................................................._.................................................. <br />` � ) Superintendent <br />LABOR AND MATERIAL USED <br />......._.......� Lead Connection Complete , . (_,' =' <br />..._.......... Saddle Complete � �� ��� � <br />��'',� <br />.... __...... .I .............................................. .. _..................._Pipe <br />............. Servicc Cork <br />............. Servicc Box <br />No. ilours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavenicnt...................X........................ ........................Sq. Fl. <br />....................X........................ �� <br />........................ <br />. _ ..............X........................ .� <br />.. . ................. ...... <br />....................X........................ .. <br />........................ <br />Total ..................._...Sq. Fl. <br />----`.--- �—'------- --- <br />— --- <br />Remark5.........__ ........................._............._......_._.......... .............................._. <br />s l f � „ d� v � ; -r �i -f <br />: „� <br />... .... .. � ... .......... ................................................<...... � ......................._. <br />.................................................. .............. ...................................................... <br />OrderHecci�•ed ............................................................................. ............. <br />\Vork Comrlct�_d ...................................._...._..........._.............__............._ ( <br />Foreman <br />
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