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6301 MELROSE AVE 2016-01-01 MF Import
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6301 MELROSE AVE 2016-01-01 MF Import
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Last modified
2/25/2017 6:59:54 PM
Creation date
2/25/2017 6:59:51 PM
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Template:
Address Document
Street Name
MELROSE AVE
Street Number
6301
Imported From Microfiche
Yes
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. _./63/� - -� -�- ,���� � <br /> w. o. ro�w a <br /> CITY OF EVERETT--Water Dept. <br /> Application No...�(!..:1�.�.. Date.........'..::...-` <br /> .........................is..G._� <br /> Iastall...............................inch water srrvice pfpe <br /> For ..........................................• ........................................ ........................... <br /> � � r <br /> On ........n..: 'c!�.1.....�f�'S.s!�':-¢—..........................._--..... Street <br /> Lot.............................................................. Block No..................................... <br /> 4d�lition <br /> ........................................................................................... .� � <br /> Remarks ............................---........... <br /> .�........................................................................................................... <br /> .. �..�. .........A�.....�............................. ......................................... <br /> . ...................... <br /> • �f ' . • <br /> ......`.......... .........�......... ......�....................... .............................. .. ......... <br /> -. ...... ____ ___ <br /> ...�.�...::....��.�..:...... r r,� <br /> . .... ................................'--'-�-'--.........................."'......... <br /> • , � � Superinlendent <br /> LABOR AND MATF.RIAL USED <br /> ........._No..................._S� e <br /> ..-. .......�Lcad Connection Complete <br /> � ......._.................._........_...._.........� Saddle Complete <br /> .......................tt............................ .Pipe <br /> ....................................................................... <br /> ..................................................... Service Cock <br /> ...................................................... Service Hoz <br /> ......................................................I ..............................................--�--........................_................................... <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cul in....................Favemenl....................X........................ .......................:Sq.I't. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ ........................ .� <br /> ....................X...._................... �� <br /> ........................ <br /> Totai ........................Sq.Ft. <br /> --- ----- <br /> — ---- <br /> Remarks.......................................................................................... --....._. <br /> _ .........._...._.... .....__............................__.............................._............._............. <br /> .........................................................................................._................_........... <br /> OrderRecei�•ed................................................................................... .......... <br /> \Vork. Completed................................................................................... ._ .. <br /> Farem <br />
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