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1814 73RD ST SE 2018-01-02 MF Import
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1814 73RD ST SE 2018-01-02 MF Import
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Last modified
12/22/2021 2:28:25 PM
Creation date
4/17/2017 10:17:30 PM
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Template:
Address Document
Street Name
73RD ST SE
Street Number
1814
Imported From Microfiche
Yes
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M, a. ram , <br />'CITY OF E`✓ERETT--Water Dcpt. <br />Aprlication Nu �r?1." Date............._i)._...../..................19. ,7 <br />Install .............:.�..- ..../tnh water service pipe <br />For ... ��e L,.:............. c�..r./� .4........................... <br />On ...» �c� � �..•...._......_ 1.. ...-:..:zl.........._. 1... t..::.. ... Street <br />Lot- --------- ........ ........... .................... _... ... Block No ................................ <br />Addition <br />Remarks............................................ .. ... ............. <br />.... ..... .......... _...................................... .................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Load Connection Complete <br />Saddle Complete <br />.................... <br />.iY. • • .........ice --Co-.... <br />.......................... .........................: Service Cock <br />_--.- .....................I.._.... Service Box <br />No. Hours Labor .... .......................................... Cost ..... <br />._»».._._.._.._......_.._.._....... <br />Cutin .................. ..Pavement ............... _..X........ »»........... .....................sq. Ft. <br />.................. <br />X ....................... ........ ........... ... M <br />................... X............ ........_. 11 <br />........................ <br />Total ............... ...Sq. Ft. <br />Remarks......... ............._................................... <br />............................................................................................................................. <br />OrderReceived...._......._.__ ..............._....... __....._ ............. .. <br />Work Completed ..... ..... ._._........, .._ _...... <br />Foremann <br />
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