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522 WALL ST 2016-01-01 MF Import
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522 WALL ST 2016-01-01 MF Import
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Last modified
5/8/2017 6:55:31 PM
Creation date
3/8/2017 1:29:31 PM
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Template:
Address Document
Street Name
WALL ST
Street Number
522
Imported From Microfiche
Yes
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: �/392 9 = � = %�% <br />w.o.ro�a <br />CITY OF EVERETT--Water Dept. <br />Application No.l.��.�'��� Date ...............�.�,.�.../...7..........;9�:�' <br />T�stall...... ../......."..........:inch water service pipe <br />l�.r..........._C� a-C� - �.'. i.,... � .....:ra�j......, ...�^� :�. <br />'^ . . .....:�' .... <.�.......z.l...-l.P -� .�..... <br />On ..........�,F-�'i,l.��.l ..................$.c� a.....Ls. �-.4.(....,S:t`.:............ Street <br />Lot............................................................ Block No..........---........................ <br />Addition......................................................................................................... <br />Remarks ...:�c:�t..1-....<=�::c..<.<.:.....r .:............................................... <br />........h�.-..:l�.u� ........................................................................................... <br />.................................. ......Cs�................................................ <br />........................... <br />.................. L�:..�,,a.r.............�...�....._................................................ <br />...._....�?��`, .:...... ................. ?......................rt,�:..ce.l��-Y,�...... <br />Su erinte ent <br />�� ��' — <br />L1►110R AND MATERIAL Q3ED <br />No. Size I <br />---- ---- <br />,�r ............................................_...� Lcad Connection Complete <br />........._ .....�y .............................' Saddlc Complele <br />. <br />................(......ft. .. I. ............... .... . ...:. �...:.....:....:..................................................PiPe <br />.....................�....L..��..........._... ScrviceCock <br />.............................................�.._ Secvice Box <br />. ^ <br />. _------.1... [La�.�s..:tit,... ... .. _ . .......................................................................... <br />..........................� .. <br />No. Hours L�bor ........ ...................................Cost.................................................... <br />Cutin....._.....__....Pavemenl........._.........X ....................... ........................Sq.Ft. <br />� �� <br />�t � + „ �.,. ................._.X..........._............ ....................... <br />� �� <br />,, ........_..........X.._ ...... ........... ........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— <br />r .. <br />� ...1.1...1...........�:...L .:................................................................. <br />Remarks. ....... . <br />� . <br />`�' �..._A.r':::a......i�.r.:..,..... .......... <br />........._............... 5.......�..� ..:.::.:.:......_.......................................... ........................ <br />OrderRecei��ed ...................................................................... ................... <br />� � .... J��.: <br />�v�rk cor„����ea. �-..-_!..i:...:- ,._ ............. ;. ...... _.,......:..:............._....... <br />Foreman / <br />
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