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4732 GLENHAVEN DR 2016-01-01 MF Import
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4732 GLENHAVEN DR 2016-01-01 MF Import
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Last modified
2/11/2017 4:25:52 PM
Creation date
2/11/2017 4:25:46 PM
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Template:
Address Document
Street Name
GLENHAVEN DR
Street Number
4732
Imported From Microfiche
Yes
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, -.. ,.,r. � . �� Y • • . �. - , •'� F '� . .. - . , . <br /> �f CITY OF EVERETT <br /> F � F.. \� DEPARTMENT OF PUBLIC WORKS �'�° � 9131 <br /> UTIUTIES DIVISION <br /> W.O. No. ! <br /> , Acct. No. �� g � 7`� I <br /> C���ao�E,9oo7 �\� � <br /> Complaint No. , <br /> UTILITY WORK ORDER {'i�'S�N oN ���'�`1 N�E � <br /> Date: � �' � d � wATER Q SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION CC�REPAIR � <br /> ❑ TREATMENT ❑ CONSTRUCTION � I <br /> ❑ RESERVOIR ^ �� I <br /> ❑ VALVE � ��� <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: `'� 7-3°Z CI�.Fl��.9l�F� � <br /> W.O. Instructions: �� ��S� Qy /`��� /�oua%,��+� �o �/"q '2 3/� _ <br /> C,�.PP�,� s��e.��,eF ����as�-�I 3y � r:� 9 �ce�.J9 r�f�crlr�F <br /> „ _ <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> MateJia((6 t) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> • SCHEDULING REQUESTED c — <br /> USE CHARGE ACCOUNT NUMBER BELOW FO�j�LA�OR TIM LI S. EMIZ � <br /> LABOR, EQUIPMENT, AND MATGRIALS ON FjEVERSF�,�,� <br /> yU v� � _'--•..•• ' <br /> Z�o (�letion (. ate�: .,�'� / - /�d Gost:$ ' <br /> '�IaJ'', � c,-1 � um .��.a �`� j�i (�� 1�.�'�,.f� � � <br /> Charge Account Number: Charge Cos`Tb�(Name): +��v���J��i.) C��,F1e.�D I <br /> �,►�a . "-y a w c,, o ���V a'3'z �\F�...,�7 A .-�AC U z� <br /> Address. . . .. _ _ - Zip:. <br /> �- <br /> Invoice No.: Amoimt:$ _— Date: . � <br /> , � i <br /> �ias � <br /> I' <br /> i <br /> I <br />
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