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WORK ORDER REQUEST <br /> CITY OF EVERETT <br /> SR,Y U000 /�/ ��FUND TYPE: ACCT TYPE: S REL WO.: <br /> PROG: 7/� FUNC: /D Cj ACTY: � W.O.: 9 Q � <br /> DATE ISSUFT: � - /Q- cj� ISSUED BY:��_ASSIGNED T0: <br /> TITLE: AFTER HOURS ADNST CLEAN �Oi�iVERT I�iSTALL <br /> [circle one] <br /> MAIN'I'AIN PRIVATE RENEW REPAIR REPLACE <br /> TAP OTHER _ <br /> a,DD�ss: '7� l �_l2�P u� o m � 7�r� . <br /> ITEhi m NIJI�iBER: S /ylG d�'�i�r�/.� �iocH,vzncrERs:.reeoeo> <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: <br /> LENGTH OF PIPE TO BE INSTALLED: <br /> . <br /> ! <br /> i <br /> CO\L�tENTS: <br /> /� < < ' <br /> C�{'� I—d��• Kfz�A/iz ro.2cc /�A/.v ���r $T.¢Tiu.J �1L7 ? <br /> � <br /> � <br /> �e�'�-.f��e�c� �o.p�p yylq �N <br /> � <br /> FAII..URE: :: ' _; �..:...' ; , .,.:. �r�".. <br /> ,-. ,,CAUSE . :.�+�a,.�:a:'•t.i..� .+:i�`es <br /> Y v:. �4 .�. �a q 1 ' � t rF K,.`✓^ -; ..wiJ6 RiT s? <br /> X; ..� �a.t 1 ' a,u o�` ,� �, 'tvl cl�yryry.f�.u,'.5:.�� . . <br /> .n '�:S : _ ::'� � .5,;: V -� � :f.:i �„ u1..T i FG+' C�� � <br /> D 4TE CObiPLETED.�/��. 'BY., r�"�. "�" <br /> � . .,,. . .. , � <br /> > = � ,.e <br /> , _. . - ' _.. _ �`—� _r,.,,,,,v.�;t;. ,.,. G � <br /> x a�cnea�i�<,i <br /> � <br />