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WORK ORDER REQUEST <br /> CITY OF EVERETT <br /> S�k FIJAIp TYPE: YU` � ACCT TYPE: ,� REL WO.: <br /> PROG: l D FUNC: /�Q ACTY: G, 7 5 WA,:���� � <br /> , � <br /> DATE ISSUED:���� ISSUED BY:�U�l9 ZL� AS5iGNED T0: <br /> TITLE: AFfER HOURS ADJTJST CLEAN CONVERT INSTALL <br /> [circle one] <br /> MAINTAIN PRIVATE RENEW REPLACE <br /> TAP OTE�R <br /> ADDRESS:�. (� � � - ' ��. •r^ <br /> ITEM m NUMBER: Gl� S�O �S/( d�` q (10 CHARACTERS NEEDED) <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: <br /> LENGTH OF PIPE TO BE INSTALLED: <br /> COMI��NTS: <br /> FAII.URE.% , . �° ..,.�. �- � :.w . � � �{ �CAUSE: ' <br /> ,a�5+'�„Mti �1.6'.t.�'^�by;�,y���+�k '�'�0'9 M�r."' j1 s�}y� '-� �� <br /> �,.1,+q,My' �`� ' c ,.�'"`4 ° � <br /> ��� ����wl�j�� ,�"�r, S�;,l4V��} i�uWi�Ti. ���� t1���iFMN'��MR��'�i:r�� �� <br /> DATE COMPLET�D ° /_' �'" - ' �- BY•' a .i.- � <br /> ;e oKr��� 4 � ��..�¢. <br /> � :_.�`+ �� t �..:�� y� .�...r.'.�. _n. ,'"�. � � - :,a1 . 3...��9T'"_io-+��`.. <br /> k.WOREQIYIL��I <br />