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2915 19TH ST 2018-01-02 MF Import
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2915 19TH ST 2018-01-02 MF Import
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Last modified
12/14/2021 2:13:17 PM
Creation date
4/2/2017 3:38:22 PM
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Template:
Address Document
Street Name
19TH ST
Street Number
2915
Imported From Microfiche
Yes
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5. J. Pr.uL0044 <br />CITY OF E,V/CE/REI-f--'XIater Dept. <br />Application No.A&-`/, Date._.___. '•• � <br />19..c <br />Install - 51.:i/ <br />/. -__...me ater service pipe <br />For <br />Ott .----- e.../ �.� % ix <br />•-•-- �---- Street <br />Lot ----- 7Block No_____ <br />Addition Yam:_cn_?,.,-•- <br />Remarks .......... <br />J <br />'-`nl`a�enl <br />LABOR AND MATERIAL USED <br />------------------------------ Lead Connection Coniplcte <br />Saddle Co�tp]etc <br />3 �i C1 <br />------- I ------------��! - - Service Cock <br />--------..... ----�-, -- Service Box <br />----- ------ <br />-------------------- <br />bGL'ti' No. Hours Libor .______ 4.... .__Cost../t� <br />a! --•--- •-__ <br />ut tn-------- _... Pavement ------------ X .--------- L-. <br />----- <br />..— — -... Sy. Fr. <br />i------------ X----------- --- <br />------------X <br />G X.-------- <br />------------- <br />___ - - Total <br />Sq. Ft. <br />Remarks . - <br />------------- --•---------------- — - ------ — ---- <br />•------------------------------------------------------ <br />Order Received <br />Work Completed ------- <br />Femmun <br />
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