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5006 S 3RD AVE 2016-01-01 MF Import
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5006 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/8/2017 1:23:21 PM
Creation date
3/8/2017 1:14:37 AM
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Template:
Address Document
Street Name
S 3RD AVE
Street Number
5006
Imported From Microfiche
Yes
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/ y�o� �. � �� <br />f��;.�- � <br />w. o. rour+ a <br />� (�ITY OF EVEKETT--Water 'Jept. <br />_=,, -' /%/I/ :_ , , : <br />ApPlieation-No ....................... Date......_..............._....................._i�3...... <br />In.� a�lj ................._.._......inch water service pipe <br />� , , %'y� ' � <br />For .. .: .C.:.l. . . . �.... � �v- .... �.L.� :................_................._........... <br />. .. . . �..:...: . � <br />�.. ... . <br />r r 7 :. Street <br />On .......,.1.. <br />....' ...............:.....� .................................................. <br />Lot.............................................................. Block No..................................... <br />.�dilition .......................................................................................................... <br />Rcmarks ............................................................................ <br />............................. <br />� <br />.._ ....................................._. ...____. SuPcrintcndent <br />LAQOR AND MATERIAL UStiD <br />Sixc I <br />—T _—_—__ <br />,..,,.,,_..........'I Le.id Ci�nnection Cortiplete <br />_ ................_�� Saddle ComPlete <br />.................... <br />_..... _ _.. _.. _........ _ ....................._................. _.Pipe <br />................... Scrvice Cock <br />,,,_ ............... Ser�icc IIux <br />� <br />No. liow�s Labor .................... ......................Cost.................................................... <br />Cutin ....................Pavement........._._......X..................__.. ............._.........Sq.Ft. <br />....................X........................ ......._............... <br />„ <br />...... ___.__..X ........................ .........._....._..... <br />�� <br />................X........................ ........................ �� <br />.... Total ........................Sq. Ft. <br />"---�-- _ <br />Re�nar ........................................................................................................ <br />.................._....................................................................._............ .. <br />................. <br />................................................................................ <br />.............................:�`.......... . <br />OrderReceived .....................................................................................`.s: ..... <br />\bork Completed.. _.. -..\--. <br />_ .. ................... _........._....... . . <br />_........_......_ Foreman <br />
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