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WORK ORDER REQUEST <br />CITY OF EVERETT <br />FUND TYPE: ACCT TYPE: S REL WO.: <br />PROG: Jy FUNC: ACTY: 7 W.O.: "I _I D <br />DATE ISSUED: -- 9'— ISSUED BY:C —�-- — ASSIGNED TO: — <br />TITLE: AFTER HOURS ADJUST CLEAN CONVERT INSTALL <br />[circle one] <br />MAINTAN PRIVATE RENEW REPAIR REPLACE <br />TAP OTHER <br />N c C- <br />ID NUMBER: wl k,\ �, .p V,) / /4, C �. (10 CH:VL\CTERS NEEDED) <br />SIZE AND TYPE OF PIPE TO BE INSTALLED:_ <br />LENGTH OF PIPE TO BE INSTALLED: <br />COMMENTS: <br />v <br />FAILURE: CAUSE: .r <br />DATE COMPLETED f / ... / � cl BY:-ezcr"O� w� <br />S %%CRE,w,,I %, <br />