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6806 BEVERLY BLVD 2016-01-01 MF Import
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6806
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6806 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/12/2017 3:39:29 PM
Creation date
1/23/2017 1:18:52 PM
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
6806
Imported From Microfiche
Yes
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0 <br />. arn�.. - G= p` : �'vn�. .-. . o:i�.. � y.•;:; , <br />� ' ,. 'f . :l:.�'.i�.1iKi1::��_ji:�' .a . 1 y'M . <br />CITY OF EVERETT <br />DEPARTMENT.OF PUBLIC WORKS <br />UTILITIES DIVISION <br />;; : 86�4 <br />W.O. No. — <br />Acct No. U' ! �" � �--- <br />Complaint No. ----- <br />UTII_ITY WORK ORDER <br />Date: <br />S � � ��/ � WATER y1�SERVICE ❑ MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPER.�TION <br />❑ STORM � PUMP STATION �REPAIa <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE � �—'—D <br />1 - Z-�o <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �'�� B ���y;f �LVD - <br />W.O. Instructions: � �P�� � '� �y��/ <br />ESTIMATEU <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />I Equipment (cost) : <br />SCHEDULlNG REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEti11ZE <br />LABOR, EQUIPM[NT, AND MATERIALS ON REVERSE SIDE. � <br />Completion (Date): ����� Cost:S <br />Charge Account Number: <br />Address: <br />!nvcice No.�_ <br />:es <br />Charge Cost To (Name): <br />nL5 Date: • <br />
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