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4930 VISTA PL 2016-01-01 MF Import
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4930 VISTA PL 2016-01-01 MF Import
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Last modified
5/8/2017 12:16:19 PM
Creation date
3/8/2017 12:51:00 PM
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Template:
Address Document
Street Name
VISTA PL
Street Number
4930
Imported From Microfiche
Yes
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209C3 k���� <br />�. i P.J[�[ f4 1��� • � <br />M. 0. I p M] <br />CITY OF EVERETT--Water Dept. <br />� � �- - <br />Application No...l �:�..1 `-=-- D�te.........�..-.._.._.�._...�._.._19.:5._ � <br />'y� . '� � � r water service pipe <br />On ...... . r(1 _ y.i1 s � . %` .�. � �i� .�.. _inch..:'...`...::..:.._ ............... <br />....... ... .. ...._:! C � �, �1 � <br />-- �� � J. . <br />:.:� .::.�...._. stre�t <br />Lot.................................1........_......_....... Block No..............._.................._ <br />/�� � . '' <br />" C'Q' � <br />✓G_ ..._ �::'... <br />...�...�: �'.... <br />\r <br />No. <br />. <br />........ .......""................._.................. ...w...................._.. <br />i'� '� <br />, . <br />�.. ..�il_ � <br />.........................."'........_........... ...:...........:................... <br />e/,^ Superintendent <br />LABOA AND MATERIAL DSBD <br />Size �_ <br />. ................. Lead ConnecUen Cer.�p!^_tc <br />................. �addleComplete <br />................. ..........................................._............ <br />................ Scrvice Cock <br />................. Service Box <br />..............._� ......................._............. __........----- <br />No. Hours LaWr .............................................C� <br />Cct in ....................Pavement....................Y....... <br />........................Sq. Ft. <br />........................ �. <br />........................ �� <br />Total ...................... Sq. Ft. <br />-- -------- -- <br />._ _ � <br />Remarks...................................... ............................... . <br />.. ......................................................... ........................................... .. . .......... <br />OrderPeccived ..............................................................................._. ........... <br />\Voi4: Camplcted........_.....::.....Y...:.:5..`! .........................................�...... <br />Foreman <br />
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