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<br /> A , ti CITY,OF EVERETT
<br /> j���.,ry' R =�,` "�� «'��" '� ' - DEPARTMENT,OF PUBLIC WORKS-; . ��R `'°�` a,»4�3•
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<br /> '. UTILITY WORK ORDER Complatnt Na`' ;
<br /> Datec;:�ZO , . . . 6 WATER � SERVICE ❑ MAINTENANCE
<br /> ❑ SEWER ❑ MAIN ❑ OFERATION
<br /> ❑ STORM ❑ PUMP STATION B�REPAIR
<br /> ❑ TREATMENT ❑ CONSTfiUCTION
<br /> ❑ RESERVOIR
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<br /> .. ❑ VALVE � _ Z_9a
<br /> ❑ MAN HOLE r�
<br /> ❑ CATCH BASIN �
<br /> �t.-' ❑ DITCH
<br /> �ocation,� 7/ D �-�a� �'L
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<br /> EqufpmenE(cost) : Equipment (cost) : _
<br /> ' 8C�HEDULING REQUESTED
<br /> ' 'U$E CHARGE ACCOUNT NUMBER BELOW FOR LABC!R TIME SLIPS. ITEMIZE
<br /> ' • LABOR, EQUIPMENT, AND MATERIAIS ON REVERSE SIDE. �
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<br /> , Completion(Date): �' 7� � � Cost:S
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