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1412 41ST ST 2016-01-01 MF Import
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1412 41ST ST 2016-01-01 MF Import
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Last modified
3/31/2017 11:55:04 AM
Creation date
3/31/2017 11:55:01 AM
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Template:
Address Document
Street Name
41ST ST
Street Number
1412
Imported From Microfiche
Yes
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� <br /> ///��� , <br /> e. d. ca¢ne�y.����� - F � <br /> w. i . rana`a �7 <br /> CITY OF EVERETT--V'Jater Dept. <br /> Application No.C.:.���� Date.....��.� ...._-�-.C'.._.........19�� <br /> 7nsta1l..:��..............inch water service pipe <br /> For ...........................................................�............ .. <br /> . ......_--- <br /> ..................... <br /> On ...................f ..._��.^-..�'.-. — ---. Street <br /> ....................�................................ <br /> Lot............................-----........--............_... Block No.--�--�---...............-•--.... <br /> .9ddition ............... ... ...................... . . . . . <br /> . . . . . . . <br /> ...... . <br /> .... .... . � � .................... <br /> Remarks ........... ... c:.c2LC.L.4"�:. .............._................................-- <br /> , y <br /> ............................. ............./..:......................... .' .�.""/'' <br /> .............._... .. .L'� �!�"L.✓.!. �....�.�_L-[..cE�..._�,��, <br /> ......... , . . <br /> � ��e-�. � .. .. <br /> �.. �. �. ... <br /> �� .. ............. . ......--.-:-..------...----.- <br /> .�� �.. .. .... .. ��::._-:- �:�:�............. <br /> �f �,- ��........... ....... ... .. <br /> �/ �. Sup intendent <br /> � <br /> LAHOR AND MATERIAL �SED <br /> No. Size <br /> ...................................................... Lcad Connection Complete <br /> ...................................................... Saddle Comp]ete <br /> ..........:..._:�...St......::�.....:.............. ..........................._............................._......._...Pipe <br /> ._.._.........._..............:._:............... Servicc'Cock <br /> ....................:................................. Service Box <br /> ...................................................... ................................................................................................................ <br /> ...........................I.......................... ............................................_. <br /> No. Hours Labor..............................................Cosk................................................... <br /> Cutin....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> - �,_ „�. . .� . : , _ �� <br /> ....................X........................ ......._............... <br /> , - <br /> . � ....................X........................ �, <br /> . ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- <br /> R e tn a r ks............................::........:.i..:.:.............:.... <br /> ............................................. <br /> ......... ; ,. � � , ; � <br /> , , <br /> ..........................................(.�;..r........................:.................._............._.. <br /> ................................................?......r.:l.:.:i.=k:s.-�..................---............................. <br /> OrderReceived........ � ....................................................r.......................... <br /> ,.., : <br /> \Vork Comp]eted._'..1:'_::..::._:..:..:...:..:.::................._..::..<::.:...:_ .::...:...... - <br /> Foreman <br />
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