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123 DORN AVE 2016-01-01 MF Import
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123 DORN AVE 2016-01-01 MF Import
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Last modified
4/10/2017 9:10:41 PM
Creation date
2/12/2017 3:32:59 AM
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Address Document
Street Name
DORN AVE
Street Number
123
Imported From Microfiche
Yes
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. . � , . - �\� \ �� <br />�.� <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITI�S DIViS10N <br />� 1�-.�-� <br />i �;_ i � �,� i <br />W.O. No. �'7�12 ' 1I� <br />� Acct. No. <br />� 7/ � 9 <br />�`'����— C4 ;� ���a�. �-C:,�� "� 1 <br />l�o T�t����l� Complaint No. <br />UTILIiY WORK ORDER <br />Date: -r ��' � S �1 WATER 'El SERVICE ,�S MAINTENANCE <br />❑ SEWER ' - ---•❑__MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP $ir�-T;QN, ❑ REPAIR <br />❑ TREATMENT �ZS.'�.,.NSTy�TION <br />❑ RESERVOIR <br />'�.. <br />❑ VALVE `�`�+._._ <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />� Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />� �nc <br />SCHEDULING RE�UESTED <br />i� <br />ACTUAL <br />Labor (hours) <br />Materiai (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TI.ME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE3S�DE:_.,., ��; .,, <br />Completion (Date): Cost:� <br />Charge Account Number. Charge Cost To (Name): <br />, <br />Address: � <br />Invoice <br />ount:S <br />\nH <br />
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