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2419 STATE ST 2016-01-01 MF Import
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2419 STATE ST 2016-01-01 MF Import
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Last modified
4/26/2017 7:21:27 AM
Creation date
3/10/2017 12:39:26 AM
Metadata
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Address Document
Street Name
STATE ST
Street Number
2419
Imported From Microfiche
Yes
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N. ,) 1'orm J�� � � � <br />S. 1. PneLe '� -� S. . <br />CITY � �VERETT--Water Dept. <br />c�, �„ <br />APulic�tion No._---. ,- � — ;% . <br />- - D;�rc.----'------- ------19--- <br />Inst;dl.. _ _ _ " -�' - �...' • -inch �vntcr scrvice �ipc <br />For _ .. .. <br />: i/---'—..'----"'-'-------- <br />.., :- --'----'-----'- <br />On._.:::-„-_'--'� = , - -----------Strect <br />Lot------- --•-����------------ Block No... _. ! =_..:--•----- <br />Addition .....-------•-------•------ - <br />--•• ...............�----- <br />Rcmarks . _ _. _: _. _ <br />---- --•-•--- <br />_------------------ -- <br />' . -•--•-•- <br />---•--(----`-�=--��'-:.`•---'-f �..� <br />. ."'•-"""""""'-'--'-."".-"-"--' '--"-"""'-• <br />--"-----"'-'--, <br />--"'•"-'--'--'-"__._.._ � <br />--- �-'- <br />r--'—" <br />� � <br />-' �.•- � i:: �? J'" <br />' 1 /�•. Snp � � ndm� ~ <br />__._.—_— �'— . � .i � � � .� i i. <br />.. _ __ �---�— �---�a-- <br />_ Le\fiOR AND \(.�Oh'fiRIAL USED <br />_'_"""""" """"_""'_ <br />"""""'"" """"'_' " <br />' _ _ _""""' (c ."-' - <br />_"""""" __ '_ " _"I <br />Lead Cannecrion Complete <br />Snddic Compine <br />.._._'_".__ _.' _ ______.Pipc <br />""_.. <br />Screicc Cock <br />S�eeiec liox <br />..__....___""""" """"_"""""'__' """" <br />"""""""__"'"' ""_""_"""'_"_""""""""'_ <br />No. Hours Labor.""' _ _"_""'""Cost _"""" <br />""' _'"""' _' _ "Sy. Ft. <br />Cut in""'__"'Pavcmenc"_"'_'_"X. <br />"'_"""" '_"'__"_" <br />"_'_""'X_...."'_""' �� <br />___'__"__ <br />'__"""'_a """""_'" .� <br />__.___""" <br />_""__"_'X"__""""' „ <br />_' _ _"""" <br />Total _._._._"""_S9. Ft. <br />-- ___ <br />Rcmarks-----------• •-- <br />'-•------------- ----�----�------ — �.- <br />--------------------- --- <br />--- ----------•------------•-----�------------- --------- — -- <br />Ordcr Reccived ._.-.---_ -------------•- <br />----•----- ----------- — <br />\C'o;k Compleccd--------------- <br />---- ---- --- — ------ — — — <br />���.�,o�. <br />
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