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2212 21ST ST 2016-01-01 MF Import
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2212 21ST ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:56:58 PM
Creation date
4/2/2017 4:30:50 PM
Metadata
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Template:
Address Document
Street Name
21ST ST
Street Number
2212
Imported From Microfiche
Yes
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Q <br />W. D. Form ] 1000 5-1.2N <br />CITY �F EVERETT••-Water Dept. <br />Application No..._Q.%._g Q Dacc.. �' ` y _._... 193-.5 <br />._ . _ . <br />Install. .. / inch watcr scrvice pipc <br />f� <�t- /� �a � - <br />For...__. �2ltn.. �� ......:. '�'`�'�- ... ....... <br />On.. tZ�..(..2....-'......_-2._L.�'..._.....__._...__._�� _Sncet <br />_.. <br />Lot _ _... ._ _..__._ Block No ..._ _ _ __ _ .. ... . ....___ . <br />Addition_ ___ ..... .. .. __ ... _ _._ _ .......:.... ..................._ ...—` <br />Remarks____.........._._..___........__ ____._...._._.._ . ......._ __.._......_... <br />_ ._. __ _ _......__. _ __........ ... _ _.._.. __ _. ...._...__. <br />_ _ _..... ..._ _ _.__ .... _ ___ ....--- <br />..... _. _ _ . ......_. ........ ._._ _ _ __ . __... .._.... _. ...._.. <br />� .-� , I �-��-�5�„�.�,�,��. �ir <br />_ __, _ <br />___--, - <br />_ :--_ -_ . _ _ <br />LABOR AND MATERIAL USED <br />� No. Si:e . .. . __.--�-- ' ---_-._�._ . - _ ---.. <br />� I/. <br />} '�' Lcad Connectivn Comple[c <br />/..... �.X 6 � .. �addlt Con�lctc <br />7_. . a.�._z " "`'.�. n,G,��._ ._ _.r��� <br />2- I � _ <br />� s«, �« c:o��: <br />___l y/7 <br />1..__..... <br />I.l_.: �_ Scrvice 6oz <br />_..._ ____..... ......__..._ __, .....__ . ._ _ <br />_ <br />_ __...._... <br />_.. _ .. __... <br />...... � dd ..__ — <br />No. Huurs Labor .__�3 .. .. _..Cast ,� �. . .... ...._.. <br />Cut in ._. _. _ Pavemenc. ...__......._%< . ..__ ... ..... ....................._Sq. Ft. <br />. .....X..._ ...... . . .. ..._......_._..._. <br />�� <br />.._._ ...__...._X .................... _ . .........._.. <br />.. <br />X _. _.._ . .._ _._ . <br />�. <br />Tu:al . __......."'..._Sv. Ft. <br />a��»:,Ti:s ; � . ,.,.� ��a'� ,_,. ,....�. .._... ..__ <br />__g43-� v- .�.���� .. ... _.... .. _ . <br />_ <br />__... _.__._ _ _ <br />_ ..._. <br />Ordcr Receivcd __.._ _ _ <br />V✓urk Con:pletcd � (j�o .��� <br />� <br />
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