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7124 BEVERLY BLVD 2016-01-01 MF Import
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7124 BEVERLY BLVD 2016-01-01 MF Import
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Last modified
5/16/2017 4:14:56 PM
Creation date
1/23/2017 1:26:55 PM
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Template:
Address Document
Street Name
BEVERLY BLVD
Street Number
7124
Imported From Microfiche
Yes
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a <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIViSION <br />UTIUTY WORK ORDER <br />' Date: S �� C� WATER ,- <br />e: <br />❑ SEWER <br />- ❑ STORM <br />� <br />Locahon: _� <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) . _ <br />Mat�rial (cosry . _ <br />Equipment (cost) : _ <br />-e v �� <br />� %'f-��� <br />C7 SERVICE <br />❑ MAIN <br />❑ pI�MP STATION <br />❑ TFEATMENT <br />❑ HESERVOIR <br />❑ VALVE <br />O MAN H�LE <br />❑ CATCH 2ASIN <br />�7 DITCH <br />�Lv d• <br />Pic/ ��P fI U/L 'E <br />`' �: 6 =' i <br />i'<.. <br />W.O. No. — <br />Acct. No. �73 �/� — <br />Complaint No. _ <br />❑ MAINTENANCE <br />❑ OPERATION <br />Q'REPAIR <br />❑ CONSTRUCT�ON <br />_� � <br />l •?-9c_ _ <br />ACTUAL <br />labor (hours) . _ <br />Material (cost) . — <br />Fquipment (cosq : _ <br />SCHEDULING RE�UESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZF <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. , <br />Completion (Date): � -�-_�—/ Cost:S — <br />Charge f�ccount Number: Charge Cost To (Name):._ <br />f,jdres_: Z�p <br />Invoic� �o.: Amount:S .Date: <br />ias • <br />
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