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4638 MERMONT PL 2016-01-01 MF Import
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4638 MERMONT PL 2016-01-01 MF Import
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Last modified
2/25/2017 8:19:48 PM
Creation date
2/25/2017 8:19:45 PM
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Address Document
Street Name
MERMONT PL
Street Number
4638
Imported From Microfiche
Yes
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5 1.PrieLalM 7�� � 7 7 • .- . <br /> W.D Form J <br /> CITY OF EV ERE.TT--`Klater Dept. <br /> Ap�lication No��\-7.r1..��... �:.ate....._ _.....:�:::)�/��.�................19..G.. <br /> �� � ncH water service pipe <br /> Install......... __,c�, i <br /> . <br /> �.� --........._.. <br /> � : � _.. � <br /> ,,• ,, r . ,. <br /> i , ' <br /> For .. , . _ <br /> _ <br /> .....--........_�.:.....�...�.....:.................:........ _:.._.._......__......... <br /> . ...... <br /> � / , . D ��% , . . —1---�...... Street <br /> On ....._... .H....c2...3...E........�.:.,...�.:,.....:...r...:::�.::.::.............. <br /> �ot............................................................. Block No.........-- •--..................... <br /> P.clr'tion ..................................................:...................................................... <br /> — . '' '.._�......,..._--....... <br /> Remarkc ........�:.L:..:......::J...........::::..................:....... <br /> .......................... ........ ..........._............................._......................_........-------- • <br /> �__;.._..`\_...................�_�.......... ..........--........ <br /> .....,....�.;..._......._..).�...........�.;���:::::..::::::.:::::::�: J.....,..,...'J..... <br /> �� Z� :t, s0 . � , p � .� .(, !; '� , _� ..� ___ <br /> _�... ..F:. .... .. :......... ........�.ti ' <br /> . ....................""" <br /> ' `C �, r� � � . . . . Super�te✓deqt <br /> i / <br /> ♦ <br /> •,� A60R A�ID MATERIAL USED <br /> Na. � e <br /> —— <br /> --__ <br /> ............................ <br /> ................._......i Lead Connection Comp.ete <br /> ............................ <br /> ........................... 3addle Cmnplete <br /> .......................f t............................ ........................................................................Pi Pe <br /> ...................................................... Sc:vice Cock <br /> , .......................... Scr�•icc Bux � <br /> .��...._......_.........I....._..............__.. ..�................._._...__.._........._...._......_........_......_....'............_......... <br /> No. }Iours Lnbor..............................................Cost................................---................ <br /> Cutin............_......Pavem�_nt........._......_X........................ ........................Sq.FI. <br /> ....................X........................ ,� <br /> ........................ <br /> . <br /> ....................1............---......... ........................ <br /> ..._...............X......._................ ........................ �� <br /> Total ........................Sq.Ft. <br /> --�-- --------'�'—-- _ <br /> --- . _ ,; <br /> � . <br /> R�marks...-y...�,�...........:�................................................................................ <br /> ............................. .......................................................................................... <br /> .............................. ............... .......................................................................... <br /> OrclerFeceived. .......l.. .......:........................................................................ <br /> �iork Compieted ........ ...:...t..........,....._.;_........................._...._.................. <br /> Foremnn <br />
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