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716 LAUREL DR 2016-01-01 MF Import
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716 LAUREL DR 2016-01-01 MF Import
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Last modified
5/16/2017 4:48:18 PM
Creation date
2/19/2017 1:43:48 PM
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Template:
Address Document
Street Name
LAUREL DR
Street Number
716
Imported From Microfiche
Yes
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. . . : ,: ,. <br />' - -� -. . . . . ..�..,�.,,:r.. , ._ , <br />�" : _ CITY OF EVERETT _ - <br />?ta:.. <br />__ __ _.. DEPARTMENT OF PUBLIC WORKS _ e'._ JO4G <br />: _ , ... _,__ � �..,... . . . _ . .. ,_ :. ,.. _.:. <br />UTILITIES DIVISION <br />- „Y� -. : _ , . . . _ „_ W.O. No. <br />. ' ' _ � .. ' --,. .i :. . . . <br />�--=-...___. _... ---- - F 30 -29 S ncct No. _ �7 r-�� q • <br />�O �S, �r� Complaint No. <br />UTILITY WORK ORDER <br />Date: I` ��' ��� � WA7cR � SERVICE ❑ MAINTENANCE <br />❑ SEWEFi ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION �I REPAIR <br />❑ TqEATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />0 CATCH BASIN <br />❑ DITCH' <br />Location: 7�� hA �j�� �- ,�� <br />,q�,� � <br />W.O.Instructions: J3CP�l� r��:f%�� <br />.� <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />5 <br />ACTUAL <br />labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHED'.ILING REQUESTED <br />USE C�IARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, �=QUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completi�m(Date): /�/9-�� Cost:S <br />Charge Acc �unt Number. <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount:3_ <br />1/85 <br />Date: <br />
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