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1530 121ST ST SE 2016-01-01 MF Import
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1530 121ST ST SE 2016-01-01 MF Import
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Last modified
4/17/2017 10:57:29 AM
Creation date
4/14/2017 10:01:31 PM
Metadata
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Template:
Address Document
Street Name
121ST ST SE
Street Number
1530
Imported From Microfiche
Yes
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, <br />,%1 �i� ' .- �.: _ - . . � , !, � <br />APPL. / "7 - SERVICE <br />N�. �_,�(/ 3�� , CITY OF FVL-HETT / or.oen a <br />APPLICA?ION FOR WATER SERVICE nN'- ppp��.��- 5� 3� <br />� FI%ED . �� / I / ' DATE. --�/�/�YJ�G_.1 S�_'. <br />tr �" _ / <br />I�l' DEPOe17 s 4� __ SQ4�V`(/ 1� � /�, / W� I N�O._ ._ ____ _ <br />�.� —/ . ._ . ____.—' <br />SER!'ICE It� AOD11[UI_-_I��O- -Id-'-+��l.`� .-- __.. _---_2LK...__. _ ..LOT.. _ .. .AOD._ _ _-'—_ _-_ <br />OWNER-- � _.___-CONTRACTOR_-.--.-------.- .--.-----. -�- <br />7 11 -- <br />INSTALL � � MCTERED S VICE_ _ _ -.- _ -- _----- �---� -� � - - � - - -- <br />I IIEREBY APPLY FOR USE OF WATER IN �CCOBDANCE WITN TNE // /' i� <br />OPDIN���CEi AND POLICIES OP TNE W�TER DEPnFTMENT NOW E%ISTING •16NED:� ��" �� � <br />Oil AS SAMF M�Y BE NEREAfTER CHANGED. - �- <br />�� w�i[RIA_.: 4�' � � �Y IN. �i 3 I� �% 'I_ �40UNT <br />PIPE 'J� COPPER �_�:ALV. __STEEL .__.__' _ /3'� Cfp �W �/_ __._ � <br />_CORPORATION ��� BC7.S-_._ _ _.. _I ...-_._ — _ .. ; _ _— � _ �_— <br />CURB COCK OT � � <br />_ _ '-- . - " _ .... _.. _..'- _ . _ — _ . _ " _ __- <br />SEHVICE BO% PLASTIC �� C I I ___ � _ <br />_ ___ .; _' _ _. _ _ _"__ _ _.�_'__ . _ .-. <br />METER VAWE ._. _._ �'G � � •� � . I . - - ---_ ..- _- <br />r_� _ I <br />METER No. �^( . vPE: .//,/__ ' _ _ __-. , _ _ _ __. <br />'_—_ F � /� / -I _-I_.. _ <br />METER BOX CONCRETf�hrG'� SMAL LARGE � , _ <br />��rY ff�� . '- -- <br />. „ � � � � <br />� <br />� <br />. - <br />_ __ ____- ___ .._ - _ -. ..___� _ - . - -_ - ___-'_ <br />_-� _ _- � � �_ . <br />�4.4_G _ -_ _ . I_ _ I— _ ��-_ _ _ __ <br />1__ .�."___-_".' __ .✓ _ <br />. <br />_ _---I—_1 ____ _—_" --__ " ._ -__'_ <br />—__--'__—__ ___ . ._ __ I_—__�—I_—_.11'____�, _'_"'_ _ ____.. .—"__ — <br />�� oN <br />DATEINSTALLED: w ' I � OFF SUB 70TAL <br />i _ <br />COO[ � L�BOR AND EOUIPMENf p[HT�L � R�T� <br />. _. ___`� 1-�-� --=5'- - ----- — <br />� ------ - ��1�-drJ� �_'�_ - -- --- <br />-I- --P � p� j �� - - --- - --/LCj�1� � -�-<J - --- <br />( � <br />-- -- - � ----- --���tr���_1S _ _ __ ._ _ _ _ <br />I--- -'__- _ -- - - <br />- -- - - - <br />--�----- _ - - ----�-_ _ - -- -- <br />REMARKS: _ _ . �_ <br />
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