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WORK ORDER REQUEST <br /> CITY OF EVERETT <br /> SR#_ FUND TYPE: ACCT TYPE: S REL WO.: ! <br /> PROG: '�/D FUNC:_ // ACTY:� W.O.: �Y D �p� � <br /> DATE ISSUED: ���—/l�/ ISSUED BY:2v�f1 C(./ ASSIGNED TO: <br /> TITLE: AF1'ER HOURS ADIUST CLEAN CONVERT INSTALL <br /> [circle one] <br /> TtAINTAIN PRIVATE Et;NEW REPAIIt REPLACE <br /> TAP OTHER _ <br /> ADDRESS: �, 7��v C7����� <br /> ITEbtID NUMBER: C(J� D� rGS��,�,�_ (IOCIIARICTERSNEEDED) <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: <br /> LENGTFi OF PiPE TO BE INSTALLED: <br /> CO�t�tENTS <br /> J'� J ��� <br /> ���'"� G[" ��7 � � kJGC <br /> �t a �� <br /> FAILURE:: " ' _ t., <br /> •CAUSE ...i.i�i;;c.:�i��' " <br /> , �T ,.� �:h. , t 4 ��- �.. , -t�� '+'t�+^=, n".'Mh^��r 'y,y_�. v?..�"�'tiz+�.cs' <br /> . J <br /> ,„( ..'. , '�;i .'� � '3�-..t4 s ' i V �,".:1' � � � �� �7 � �� <br /> L,.-;. . . .r .��.A � YM I t. 4 �`�� wIF�4TSY�rJ�� <br /> DATE COD[PLETEI�• �=/_��/ ,� , � BY � .:- •:x- _ ,�� �x.�,, �,�a:� �- , � <br /> :: , <br /> _. � <br /> . , , �r �,..c,,�,,,,;; ,��: <br /> .. .. . . . . . . ... . .. . . . . . . . ..i.. i*�.1�, o? <br /> SC u'CRFp�Go�l <br />