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3011 21ST ST 2016-01-01 MF Import
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3011 21ST ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:18:14 PM
Creation date
4/2/2017 4:45:40 PM
Metadata
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Template:
Address Document
Street Name
21ST ST
Street Number
3011
Imported From Microfiche
Yes
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Q 1 `' � <br />S I.�frie6c�'d7-46235�V � ' , <br />R'. U. Forn� J \i� • • <br />CITY OF EVERETT--Water Dept. <br />Application No..�/-'.�' :�... P�te....... . � :'.�--.--:�:.-:: --..........13': _, <br />ln,tall..........'. '� .............inch water service pipe <br />For.............................................��....1..,-........................_...........--�' Street <br />.�4 /i= .2 11 .. . <br />On.................................................. ........................ ...........�_�... <br />Lo[......._... .......1...�,7.'�........_ ................ Block No.... �.. ��..................... <br />Addition ............ ; ..............----.......�,.................................................. <br />,.. .. . <br />i(._' _ . <br />Remarks :t�:.:?'..i. " •' <br />.............. ................ ��............_........................ <br />i <br />� _ ....."lq' <br />, <br />" . .:....:�.........Y:...... <br />� , <br />... .... /\. �. ' ......... <br />/� alD_/y <br />!./',-'i% �r :� <br />.C.: L .........:.... ..............."'....... <br />i�! ,' Superintandent <br />LABOR AND 11IATERIAL IISED <br />No. I Sizc <br />---� .__--- <br />................................... ..' Lead Connection Complete <br />.................i........_.................i Saddle Completc <br />...................................................... <br />Scrvice Cock <br />Scrvicc Sox <br />Nn. Hours Labo :...................... <br />l;ut in ...................Pavement... <br />....................X.. <br />....................X.. <br />Total <br />Pipe <br />nen�a.,.a_� .....:..........:.:y...................--.'-.............................._............................ , <br />. . ........_._........__ ................................................................... .................""'""..... ,. <br />.............................................................................................................................. %. <br />OrdcrReceived .......................................................:......... :_.....:......_......... <br />�Vork Comp]eted..._ .....................___...--..............__.:_�..:�....:..:'..;.:.:.......... <br />Foreman <br />
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