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4702 W GLENHAVEN DR 2016-01-01 MF Import
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4702
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4702 W GLENHAVEN DR 2016-01-01 MF Import
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Last modified
2/11/2017 8:25:24 PM
Creation date
2/11/2017 8:25:19 PM
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Address Document
Street Name
W GLENHAVEN DR
Street Number
4702
Imported From Microfiche
Yes
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.,. . <br /> .. . ... . -.:;: . <br /> .��,� ..'._ „ . CITY OF EVERETT ' . : <br /> _ ; ,� 3911 <br /> DEPARTMENT OF PUBLIC WORKS 4 <br /> . `L : ` - _ , _ UTILITIES DIVISION . - <br /> ti � . ...., _ ..__ .._. - : <br /> - - - , . . �� ,. , �•,: .> �, ,,.,,; W.O: No. _ <br /> •: :,: , <br /> . . �.. . .-:�- �5'TT� 12-12_6� ' . ._ ._ . _. _ _ . ._ . . . . <br /> _ . _ - -- - - _:. p 36—zq - y _ _ : Accc No. �e 7_r-// : . <br /> ' - -- . , -- - . Complaint Na . . , <br />� UTILITY WORK ORDER - : � <br /> Date:_.�i� -� '.R 9 p�WATER C� SERVICE ❑ MAINTENANCE , .J. <br /> ❑ SEWER ❑ MAIN ❑ OPERATION � <br /> ❑ STORM ❑ PUMP STATION f�REPAIR <br /> � : ❑ TREATMENT ❑ ' CONSTRUCTION � <br /> • . � � � ❑ RESERVOIR <br /> ' ❑ VALVE �1TL 6911_ <br /> - ❑ MAN HOLE pEP��R <br /> ❑ CATCH BASIN io-S-89 <br /> ❑ DITCH <br /> Locetion: �70� ���'v'�+�'j�'�'� <br /> W.O. Instructio�s: --,n����� RokPs�/ �'PRU/<<' <br /> . . <br /> � <br /> ESTIMATED ACTUAL <br /> � Labor(hours) . Labor(hours) . <br /> Material (cost) . Material(cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> � SCHEDULING REQUESTED , <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. , <br /> Completion (Date): Cost:$ <br /> Charge Account Number._----Charge Cost To (Name): <br /> Zip:. <br /> Address <br /> Invoice No.: <br /> Amount:$ Date: <br /> ' �ias . . . . . .. . ------�-- <br />
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