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WORK ORDER REQUEST <br />C[TY OF EVERETT <br />TOTAL [1TILITY MAIIV'I'EIYANCE �'t�►IYAGEMENT SY3'fEM <br />WORK ORDER ID: <br />�: ?!O Furrc• / o Act�r• �73 w.o.• �% ?�1`� <br />fE ISSUED: f�- r�.G1 • Q/� ISSUED BY: �'z.� ' <br />IGNED TO: / <br />TITLE: AFTER HO ADNST CLEAN CONVERT INSTALL <br />[circle one] <br />iv(plri-I',4IPi PRNATE RENEW REPAIR REPLACE <br />TAP OTE�R <br />�s m rru�FR:i�•v, �. r 9�i s Ta 4- ��o �,+c� �� <br />SIZE AND TYPE OF PIPE TO BE INSTALLED: <br />LENGTH OF PIPE TO BE lNSTALLED: ._ <br />COMMEN'fS: <br />�:::;,-. ��� - <br />, T`;; ^..,. � _r , . <br />IRDEIt COMPLEI <br />5� wollEpl��_a� <br />.. .' _ . .. . . .. - ,:.;�:,� . <br />- <br />