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3406 16TH ST 2016-01-01 MF Import
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3406 16TH ST 2016-01-01 MF Import
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Last modified
4/19/2017 7:17:19 PM
Creation date
4/4/2017 2:38:55 PM
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Template:
Address Document
Street Name
16TH ST
Street Number
3406
Imported From Microfiche
Yes
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w. u. roA��� � � . . ' .. , <br />CITY OF EVERETT--Water Dept. <br />�-� ,' 7� <br />Application No..::; ��_:�. � Dat/ .............:�.�:.....:. ' r--__i <br />.................19.. <br />7nsta1l......._..:i:�....._.._inch water service pipe <br />For...........:t!_.�...'_.:....,:s:,:._...-.,.:...1..;.:__ ..............._............................._.... <br />On _......� ..:�'::. E... ./...1:.._si . :...................___................................ Street <br />I..oL.._ .............r .:.�.�_.._........._............... Block No.....%._-�--J-.._•---......... <br />; , i: <br />a�ldition ...................:/..-.s-`a:..::_.<.f.�./'::....................................._................. <br />Remarks .::.%�:!:r.�:::..:::ui..x.<,.:..�..:.....:. .:............ <br />........................................ <br />: ,- ,- �_ � <br />..._,:..,,.::..�:r ......:,�:..�..rf.i:.. ( :...:............................................................ <br />............................'� .��.,/............_.......�.......................................................... <br />.... <br />. , <br />.,_..� ' " .. -: �'-f' <br />t_ . <br />_._........1 ,.�� :........................................... _......._...� ,�i P ........ <br />. .. . f... <br />. Su ermtendent <br />;i , i <br />:i. % <br />LABOR AND AfATERIAL USLD <br />— -��o. <br />.......................... <br />...... �.....��......ft <br />.......... _ ........: .... <br />..__..........._....:� <br />_ ........................ <br />.......................... <br />Size <br />Lead Connection Complcte <br />Snci�dle Complete <br />; r.f ,, <br />. ...._ . ........................ ................. <br />Scrvice Cock <br />Ser-:ice Box <br />.................................................... <br />No. Hours Labor .............................. <br />Cut in...........__.....PavemenL.......... <br />�� <br />./, . ; . ........_. <br />ipc <br />....................... _.... .-' ---. . <br />Urder Receiced .... .._. ... ..... <br />/ � ,...,... . <br />Vnr:c Complcted._.;.....�.__...::... ___ .:... . . _.'.. : � .. _ _ .__. <br />Foreman <br />
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