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1710 12TH ST 2016-01-01 MF Import
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1710 12TH ST 2016-01-01 MF Import
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Last modified
4/4/2017 9:03:50 AM
Creation date
4/4/2017 9:03:46 AM
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Template:
Address Document
Street Name
12TH ST
Street Number
1710
Imported From Microfiche
Yes
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��n4 ].1. 3�� � ,. <br /> I Y F EVERETT--Water Dept. <br /> 9pplicatiou No.................: � <br /> ...... Datc....- -......_............:.._..........:..19..:... <br /> Install...............r'..:.............inch water service pipe <br /> For .....................................:.................................................:............................ <br /> On ..- - - ..._................:................. �--.......--............._............. Street <br /> r <br /> Lot.... ......- - -�-................................... Block No..................................... <br /> Addition ....................:......................................................:........................ ... <br /> .........._� ' , <br /> Remarks .....:...............................: -........:_..- --...:........:_.._...:..:.r. <br /> ..._ -..............._...-.......- -..........._...:.. .............................__......:_............. - <br /> ::..................................'............:......................................_..... .........--.............--- <br /> ::........-.. ..........................._........ .......................---...;........................-'--........ <br /> ........,..._.:....:...:..............................:.............................._.. ...:...... -- .......... <br /> � ' � � Superiatendent <br /> LABOR AN� biATERIAL USGD <br /> No. ; Size <br /> -- <br />� � -'�� � Leaci Connection Complcte <br /> .._:.......................:._,............._.....I <br />� . � ` ... Saddle C��e <br /> ......) ��..... <br /> i � `� � .. �" .. =P.i"......_..........................Pipe <br /> ._./�............_ft............._1...,�.. ........ .� <br />� ...:....._...................:..1............ Service c , <br /> �� �.:� Service Sox <br /> . ............._....;.............................. <br /> � ' <br /> / � • <br /> .....�.......'......... / . � ........-. ,....�.....�.......................................�..............._�.................................... <br /> .......�.... .. .... <br /> .........�.��: " i <br /> .�.............. � <br /> ............ <br /> �:::.:.. ....:: <br /> �.�'..::.....:: <br /> No. Iiours Labor...................... .......................Cost.................................................... <br /> Cutin....._..._.......Pavciner.t....................X................._..... --.....................Sq.Fl. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................Y........................ ........................ ,� <br /> ........... ......X........................ ........................ �� <br /> Total ..................... Sq.Fl. <br /> -------------- --- <br /> Remarks.... ..................................................................................................... <br /> _._........- --� - .............................................................................................. � <br /> OrderFeceived.........................._.............................................. ........_......_ <br /> �,=nrk Comr.leted................................._.._.......... ._........__.... .................._.. <br /> ' Foreman � <br /> _ - - ---- ,�� - - — - �.���i <br />
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