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2215 5TH ST 2016-01-01 MF Import
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2215 5TH ST 2016-01-01 MF Import
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Last modified
4/3/2017 11:19:53 AM
Creation date
4/3/2017 11:19:50 AM
Metadata
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Template:
Address Document
Street Name
5TH ST
Street Number
2215
Imported From Microfiche
Yes
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` _ _ _ <br /> I <br />� <br /> 9. .L Pyy`.If2(-0�///'1•b���� � �� d �L��. <br /> W. O. rONM ] • <br /> CITY OF EVER.ETT--Water �ept. <br /> ,�iis� .. ' <br /> Application No.....�>:.�YD te......................._...._:3/3......18� .7/ <br /> lnstall......,..�.�...��,1............ir_ch water service pipe <br /> , , � <br /> ' <br /> For ........-----... � -t.t�r.��......l.....:.�v:1r.i:n4t�a......................... <br /> �.. . ..........._. -�� -� <br /> On .....................�1�.�;�..�.5......._—.---.:`?............._`......-•---.............. Street <br /> Lot......................:.1..5-�--..........-------....... Block No................_._................ <br /> Addition ......................................................✓................ ........ .................. <br /> F.emarks -�----.._.-.-.�.j.,.Z!..:L.�....i........_:�.�S.t+�i.iar.s..:�..i................. <br /> .....................................................•..................-�-�---••---�-�--.................................-- <br /> ...................................................................................................................�--�--...-- <br /> ...__,.:,..=-='........... .............�)-•----.._................................ T ....� /J <br /> ....... ....��... _ <br /> : ;'�.... :. �..�. � ,�J j]'� Vei.'Lvt` <br /> ...:..............:_....».::............ .....................*........................ . ..... .... . _ <br /> �.. <br /> �' �. ,- � r7 � � �Z' Superintendent <br /> i � i: � <br /> n. � i �' - _ ���(.c'� <br /> ' . , IjABOR AND MATtiRlAL USED <br /> xo. '^.^'�__I_— <br /> ............................................... I Lcad Connection Complete <br /> ................. <br /> ...................................... Saddlc Complete <br /> ......................St............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Aours Labar..............................................Cost.................................................... <br /> Cutin................. .Pavement....................X......._............... .......................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ...................X....................... �� <br /> ........................ <br /> ....................X........................ �� <br /> Total .........._...........Sq.Ft. <br /> --------- — " <br /> �i . �,: <br /> Remar_4s...�,........f. . . . .. . ��.......... <br /> [/.� /. <br /> ,,, , <br /> . :.:................................................ <br /> r�1......... , ...1_...... <br /> .....f .. ......� <br /> OraPr P�cerve3..................................... ...................:...:....... � . <br /> .................. <br /> ..........- -•--- <br /> r .. <br /> _ . ................. .... <br /> ; . ; ... <br /> �VocF_ Cotnpleted...�.:...:..1:.::::.:'<.:....................._.................................. . <br /> Foreman <br /> i <br /> � <br />
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