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WpRK ORDER REQUES'x' <br />CITY OF EVERETT <br />TOTAL U'TILITY MAINTENANCE MANAGEMENT SYSTEM <br />CM WORK ORDER ID: <br />PROG: r I D FUNC:� ACTY:-�=`— W.O•: �� <br />�- <br />DATE ISSUED: � ^z � `I � ISSLJED BY: �� �'L� �� <br />ASSIGNED TO: <br />TTTT,E: pFTER HOURS <br />[circle one] <br />MAIIQTAIN <br />TAP <br />ADDRESS: <br />ADJUST <br />pRNATE <br />OTHER <br />� <br />CLEAN CONVERT INSTALL <br />��W ppg� REPLACE <br />ID NUMBER: C!J^T �S L- Cri y r� 00 CHARACIERS NEEDED) <br />SIZE AND TYPE OF PIPE TO BE MSTALLED:_ <br />LENGTH OF PIPE TO BE INSTALLED: <br />COMMENTS: <br />.v�,t -., <br />SC N'OR[f�15/1:'u) <br />