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4904 S 3RD AVE 2016-01-01 MF Import
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4904 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/8/2017 11:33:44 AM
Creation date
3/8/2017 1:11:03 AM
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Address Document
Street Name
S 3RD AVE
Street Number
4904
Imported From Microfiche
Yes
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-� �/�� 79 - �,,�:� <br />w. o. ro+w a <br />CITY OF EVERETT--Water Dept. <br />Applicalion No....L..:.:..._....... ]�ate .....................:..........................19...... <br />Tnstall......._��c"l.... �_........inch water service pipe <br />or .................. ........................ . <br />. _ --..... _ ........................ .............................. <br />On ........°= ..:.�........::.._ <br />Addition ............................._...... <br />Remarks � ` <br />.................................... <br />................l.:z.::.:.>..::...:_ :....`........ Street <br />......... Block No ...:..:..:...:.:.:f::.: �.......... <br />.. ---- ---- ................................. _................. <br />. ............ <br />__ _ _ _ <br />. i .............................. _............................................; ....... _ ....... _........................ <br />_ __ .... ..........--.........:_,:...... _...._. _......_..............................._.........................._. <br />. � � Superintendent <br />LABOR AND MATF.RIAL USED <br />._ ............. <br />Lead Cnnneclian Completc <br />Saddlc Complelc <br />......._._ ....__....._ .......................................... <br />Pipe <br />Snrvicc Cock <br />Service Box <br />................................................................................. <br />. _ ..................... _...... .................. ....... _........ _.......... <br />.... _ ............. ..............__.................... ..................... <br />No. Houcc Labor ......................_................._.Cosl....................._............................ <br />Culm........_........ �avement............_ .....X ..................._... ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....................X........................ ,� <br />_ ...................... <br />....................X........................ �� <br />Total ._....__........__SG. Fl. <br />----- �--�------ <br />Remarks......... .................................._....._..................... ..._......_ ................ ... <br />_ ........................................................_................... ................................ <br />.........................................................:............................................. ................. <br />OrderReceived ............................................................................... ............. <br />\Vork Cotnpletec:.........._ ......... ............._....._ __............................._... <br />Fcrcrtian <br />
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