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5209 S 3RD AVE 2016-01-01 MF Import
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5209 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/8/2017 6:27:54 PM
Creation date
3/8/2017 1:23:01 AM
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Address Document
Street Name
S 3RD AVE
Street Number
5209
Imported From Microfiche
Yes
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/ �- 2 � �- �, <br />w. o. ,-onH a — . . . � <br />�ITY OF L'VERETT--V�'Jater Dept. <br />., <br />, , <br />� ., <br />�, :, : <br />.a�}fe�rkion:io..._:.___...:.....:- Date..........._......_..:...::' ...................18...... <br />� Instsll .............................. .inch water service pipe <br />For.......�...........rr .:............__:._...:!.........,................................................. <br />f � �: -7 / ........._........ Street <br />On .........:.................y................:....:............................ <br />Lot............................................................. Block Nn..................................... <br />Addition..............................................................._.._....................._............. <br />Remarks..................................._.................................................................... <br />..................................................................................... <br />......... .............................. ........................... .................... <br />Superinlendent <br />LABOR /�ND 111ATEBIAL USEL� <br />.........._.� Lead G�nncetion Complete <br />....__..._� Saddlc Complele <br />.........._.� ......................................................................PiPe <br />.............I Scrvice Cock <br />Service IIur <br />........ ................... ........ <br />..... _ _ ..................I........ <br />........................... ....... <br />No. F[ours L�bor .............................................Cost......................... _...................-'-- <br />Culin._ .................PavemcnL.........._.._...X........................ ......................_Sq.Ft. <br />....................X........................ �� <br />........................ <br />...................X........................ „ <br />........................ <br />. ...X....._.._ ............. �� <br />..._. _........ .......__......._.... <br />Total ............... ........Sq. Ft. <br />__` __—'_ __ <br />Rem arks . ........................................................................................................... <br />__._.........__ - <br />Order?2ecei��ed .. ............................................................................................ <br />\Vork Completed _...._ ..................................__..............................._ _ .); <br />Fcrcrt:��• � <br />
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