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2809 22ND ST 2016-01-01 MF Import
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2809 22ND ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:05:26 PM
Creation date
4/2/2017 4:58:58 PM
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Template:
Address Document
Street Name
22ND ST
Street Number
2809
Imported From Microfiche
Yes
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8. � <br />G J. PRIC.IC ] 11� � _ �� <br />W. O. fOR••• �� 1 <br />CITY OF E\1ER.ETT--Water Dept. <br />, _, ,. <br />Application No.1: �_ r�.....::�... Date ........:..... ..:...'...---..:.�...�.....19..�...�.. - <br />Install......�.:..._ .:...............inch water service pipe <br />For..................................................�............._......................-------....----.........._. <br />On..........._...:....'.....:i ................:.....:.......'..:.:.............----................--. Street <br />Lot.............................................................. Block No.......---......_.._.------....._.. <br />Adciition....................:.................................................................................... <br />� (� <br />, <br />I:emarks ............./...`.....'---'--i._::...[...:.c_::�.._�:.,._...........---........_.........._---• <br />.•----1---=�='-..�..i.....y..��j.�......._- ...................�.. _,�..%...._.'................. <br />j r.�.......y...-.!t_'....:....---�-• �. <br />......... ...........................:...-- ...........---.................:------..... <br />� �; Superintendent <br />I <br />� <br />LABOR AND MATF.RIAI. IISED , <br />Na. I Size I . . . <br />Lead Connection Complete <br />:.addle Complete <br />Servicz Cock <br />Scrvice Box <br />No. Aours Labor ..............................................c;ost..........................._....................... <br />Cutin ....................Pavement..............._...X......._............... ........................Sq. Ft. <br />....................7i..........._........... �� <br />_ ....... _ ............... <br />�: , ( <br />.. . ....................X........................ �� <br />. - _' ... .... <br />, . ,� � ....................X........................ ........................ �� <br />OrderP�eceived..........._ .................................................... <br />, . <br />�Vor�. Completed ....:.:............:.......................................... <br />Foreman <br />
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