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2903 19TH ST 2018-01-02 MF Import
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2903 19TH ST 2018-01-02 MF Import
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Last modified
12/14/2021 2:12:04 PM
Creation date
4/2/2017 3:37:10 PM
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Template:
Address Document
Street Name
19TH ST
Street Number
2903
Imported From Microfiche
Yes
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28 <br />, <br />W. D. F1010 <br />S.J. M 6c . <br />CITY OF EVERETT--Water <br />Dept. <br />lea <br />r <br />Application No. ------ <br />Date.--__.;-----L------•-19 <br />%)Install <br />- `--__ _-inch water service pipe <br />For ---------- •-- <br />Street <br />Lot . <br />Glock No. <br />----•---- <br />---------- <br />Remarks ---- -- -•- ---... <br />•-----•----••----- -- -- <br />----------- --- — -------- <br />r _ .r <br />`' -� <br />- - <br />------- � ! 1 <br />to <br />SWnrintenaenr <br />LABOR AND MATERIAL USED <br />S¢c <br />Lead Connection Complete <br />--------------- Sakidlc Complete <br />'t/ ------------- pipe <br />--_- 3/y -". Service Cock <br />... ..... .:....... <br />___._... (.... _. _ (F Serv <br />ice Box _„ <br />---------- ---------------- <br />---------- <br />fu7id No. Hours Labor-------------- •--•----Gast.__ <br />P ----------------- n� _______ __Sq• Ft. <br />-al'�"µ'rEut in ------------ Pavement.__..___.__.X..__. _._...... .. <br />_--X______________ _____________ <br />✓ / ._--.---- .X .. <br />Total ..----------- ..S q. Ft. <br />Remarks ---------- <br />------------------ <br />.-------------------- — --- <br />Order Received--------------------- ---'--'"" "" <br />Work Completed ------•--_..----•----•----- <br />"--------Foreman <br />
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