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3120 19TH ST 2016-01-01 MF Import
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3120 19TH ST 2016-01-01 MF Import
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Last modified
4/21/2017 1:44:37 PM
Creation date
4/2/2017 3:41:23 PM
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Template:
Address Document
Street Name
19TH ST
Street Number
3120
Imported From Microfiche
Yes
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w o. ron.����� � �/` � <br />CITY OF EVERETT--Water Dept. <br />:lpplication No.. ./..J���.�� Date....._-�`::i�.�� .............15�.�. � <br />Install...._...:�1!........,.. .inrh water service pipe <br />, �,�7 <br />, , <br />For ..._....�.�.-�`?C2..�-Ft'....%.��....,/?�.?..•::?::e..c.f�l Ci C�-.ir:-r� � ) <br />..... . .............i�f�ia:_.',% <br />_, __._ 7 �+ <br />On .........._�"/,-r/:.... ../....�_�..r........:.�. �..::_:._�. � .............. Stree! <br />�' r <br />Lot.........._./..�/-��_ ............................ Block No..�-���................. <br />Addition .� ' <br />.. <;.%�.........r��:lr.�G,r�� .................................---..............._....... <br />I:emarl:s ._.�?cz:�:...: �:: < r,::�=...._ ::.......... .................................. <br />....i� ...................'Y...................................... <br />............. �_ . . . . . � . <br />�1 �� 5 ,� <br />..___� / ..........................�._. j �%..............................�.r�.. <br />;; v <br />_1_ -_.- <br />LAItOR AND MATEliIAL USED <br />No. Sixe I <br />-----_.—�' —�-------- <br />f <br />...._ ................ ..I................___.....� Lcad Cormection Complete <br />......_ ......................_...........__.._...I 9:.iddlc Complele <br />..........._...... ...ft ............................ ...................'.:__�.............................. <br />_.._._ ............................................. ScrVice Cock <br />_ ......................_. _.........._............., Service Box <br />Nu. Hours Labor .............................._........._...CusL..__........................................_... <br />Culin...___..........Pavement ....................X.............._.._.... ........................Sq.Ft. <br />....................X....................... �� <br />....... _ ............... <br />...._ ..............X.._..._............... �� <br />........................ <br />....................�L........................ ........................ �� <br />Total ..................... Sq. Ft. <br />_--'—=�-----------_--� — ---- <br />� i � :1 i : .�� - , �-, '. �- <br />P.Eanarks.... �......:.:..c ..:................_.,....:._...:...�...................................... <br />........ _ <br />� _ / <br />, ,, <br />...1..`•--...'......._.....:..---�--�'-^`- •--...:_ .:...................:...:....._.........----.......... <br />Order Receiced_ ............................ <br />\Vork Completed_ ...:.:.:..........:�.-t.. <br />................. �..^"^:' Y� <br />a <br />
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