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. I. <br /> WORK ORDER REQUEST <br /> CITY OF EVERETT <br /> TOTAL UTILITY HAINTENANCE MANAGEMENT SYSTEM � <br /> � <br /> CM WORK ORDER ID: <br /> � <br /> PROG: 7�— FUNC: l O �J ACT'Y:_G� W.O.: �� � <br /> DATE ISSUED:,�� — � g ISSUED BY: � ��' <br /> ASSIGNED TO: <br /> TITLE: AFTER HOURS ADNST CLEAN CONVERT INSTALL <br /> [circle one] P�VA,I,E ��W gEpAIR REPLACE ; <br /> MAINT�+II`i <br /> TAP OTHER <br /> r- , ,�_I V� <br /> nnDt�ss: 3`f�� , <br /> Ntvttvts m tvuMBEtt: S rrt L �9 5 S � 9 00 CHARACTERS NEEDED) <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: <br /> LENGTH OF PIPE TO BE INSTALLED: <br /> � <br /> COMMENTS: ; <br /> � <br /> �P/�k t " CA��P /� O cJP 2 S '� <br /> t <br /> _ �,y,.���y� <br /> , :,,- ;;. � : <br /> . . ys �.�..� t '..�. ,/��' 15S�k r�� �� 4 � k. �. ��� � ' <br /> ' ..� . .�; � �y,'� ��'t�4K • � � � 4 ���J(,�� __ . <br /> � . _ . � ,OCSo� a , i � -a/'�i �'nl •ir� A+ <br /> PJORK a4tDER COMPLETFI� ° ���•_�, BY_ , ,.�,� .,,,.�{,, <br /> Y' p��v.�� <br /> + `.�. .. �i.. _ ltri.."��• '.�Nl�Y�t..�. �i, <br /> sc wonsasrrwi <br />