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WORK ORDER REQUEST <br /> CITY OF EVERETT <br /> TOTAI. UTILITY MAINTENANCE i�IAIVAGEMENT SYSTEM <br /> CM WORK ORDER ID: <br /> PROG: � � FUNC: � � � ACTY: � 7 3 W.O.: O 3 Z�_ <br /> DATE ISSUED: 3 — S ` 9 ,� ISSUED BY: ,�G �- <br /> ASSIGNED TO: <br /> � �—�\ <br /> TITLE: AFTER HOURS ADNST CLEAN CONVERT INSTALL I <br /> [circle one] � <br /> MAINTAIN PRIVATE RENEW REPAIR REPLACE <br /> TAP OTHER <br /> .�D�SS: a.� � • Il'1 �C ! CC <br /> NMMS ID NLTMBER J �L �;,3c�`7`- -- �- (10 CHARACI'ERS NEEDED) <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: � �� PV C <br /> LENGTH OF PIPE TO BE INSTALLED: �O � <br /> I <br /> COMMENTS: <br /> _ �iv �S'�'� � Ne`'� ��, ,v �.,.v .� � eeC� � vmrn5�z' <br /> �, r �:, , ,. �; �� <br /> .. e ,,,.... y� ... E . � �S��,Sf�:,��� t <br /> i. ',i , .�� ' � .�,. F� ,�. Uar��;. < �� , .'JMC ai 3r '. <br /> WURKORDER:COMPLETED�fI� '`��r� V.'BY Ti� �' � ``� ` `� '�����' <br /> r r Yvti -� 4 ',,;..:,..:� <br /> .. . . . . . , - , . . . ' �'��.'r: <br /> Sc�voREpSiI]w� <br />