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6619 WILLOW RD 2016-01-01 MF Import
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6619 WILLOW RD 2016-01-01 MF Import
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Last modified
4/26/2017 12:43:33 PM
Creation date
3/9/2017 3:15:10 PM
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Template:
Address Document
Street Name
WILLOW RD
Street Number
6619
Imported From Microfiche
Yes
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-/�3•77 - - - �� <br />w. o. ro�r a i�L ",e� �..� �� <br />(�ITY OF EVERETT--Water Dept. <br />� .� > <br />Application No... _ � }. ./_J. Date...._�:'....- � ..........................19_if� <br />install ...............................inch water service pipe <br />For............................................�...... ✓ -�............. ............ <br />/ �. � ................. . <br />. / <br />On ........�..G...�...7.....�%�,..:[..1��!_.......�irA .�T .................. Street <br />Lot............................................................. Block No...........---....................... <br />:1�dition ................................................................................. <br />.......... .............. <br />Remarks................................................................................----............- - <br />Suqerintendent <br />LABOR AND MATF.RIAL USED <br />No. i Size � <br />...........................�...........................I Lcad C�nnection Comp]ete <br />...................................................... Saddle Complcte <br />......................fT............................ .................................................... <br />.. ........................ .......................... Service Cock <br />.......................... .......................... Ser�ice Box <br />........................... ...........................I .. ... ..................................... ....... <br />No. Hours Labor ..............................................Coat.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />---- ----------- <br />Re m a rks ............................................................................................................. <br />OrderRecei��ed .........................................................................._.................. <br />�Vork Campleted ............................................................................._._.... _ <br />Fareman <br />
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