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2526 51ST ST SW 2016-01-01 MF Import
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2526 51ST ST SW 2016-01-01 MF Import
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Last modified
4/24/2017 4:57:56 PM
Creation date
3/31/2017 3:37:11 PM
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Template:
Address Document
Street Name
51ST ST SW
Street Number
2526
Imported From Microfiche
Yes
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W. U. � PM 8 � ✓ � / 7 .. "� ( C � / <br />CITY OF `�VERETT--Water Uept. <br />Application No... .:..:...°._1..�� Date....���.�...._iS61 <br />. .....................19.... . <br />Install.../.. .�l�,� ..�.............. .inch water service pipe <br />For ... ..-2'`t ;`i'l �a...Yi�S:cC-�........ <br />....................... <. ... .................. <br />� ��--- <br />Or ..._.'�!L.�....� - S/ -' 3�, . � <br />.............................................. Street <br />...............: � � , <br />.............. <br />Lot................ ....... ._................---............ Bluck No......--............................ <br />�dclition ............. <br />Remarks ..........._ <br />- --- ..............................................._.. <br />_..� .. ..- \. � .............�;.. '�....-`.........'.��.�..#1 <br />!,� ._.. . - .................. ............. <br />jj:.:�........ ____ ____ <br />..:i.. ! J <br />_ ./ .:......... .......................................... ....'""""""........"""..._............. <br />.................... ....................... ........... .................................................................... <br />Superintendent <br />No. <br />GABOR AND MATERIAL USED <br />Lead Connection Cor�pl=te <br />Saddlc Complete <br />Service Cock <br />Service Box <br />......................... <br />... ..................... <br />No. Aours LaUor .............................................Cost............ <br />Cut in.........._........Pa✓crnent...__...._.......X ........................ <br />�; ....................X........................ <br />/%ZC�l� «/ /— 5Tj 2� .. ................x........................ <br />. ..................x........................ <br />^otal <br />Remai ks.......1..�.�'.�:. <br />.............. _...----- <br />........... --....... _ .... <br />........................................................... <br />......................................... <br />............................... ................... ...................................................... ............. <br />Order?Zeceiced_.._ ........................................................................_.._. ........ <br />1Vork Campleted .................._.... __........ + <br />_........._... _..... _ _ ..............__.:.. .. <br />Foreman <br />
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