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WORK ORDER REQUEST <br />CITY OF EVERETT <br />SR# FUND TYPE: ACCT TYPE: S REL WO.: I�'I I 7 DoZ� <br />PROG:_7/(% FUNC: //� ACTY:_ Co75 W.o.: I�R4 oa�a, <br />DATE ISSUED:,��_ <br />AFTER HOURS <br />ISSUED BY; �.,.1 ASSIGNED TO: �C�' <br />ADNST CLEAN CONVERT INSTALL <br />[circle one] � <br />NfAINTAIN PRIVATE ��� �p� <br />TAP OTHER <br />ADDRESS:_��o7 7 �Ln N.�c—r c'LC�de-- <br />ID MJ1�iBER: �1S' ��U� ��od � (IOCH.IR.ICTERSNEEDED) <br />SIZE AND TYPE OF PIPE TO BE INSTAJ.LEU: ��y j.� �%' � <br />LENGTH OF PIPE TO BE INSTALLED: <br />C01�1,�tE�1'['S: <br />' l`1 `i `7 D <br />FAILURE: <br />L'ATE COhIPLETED: o � /.3/ ) `r' �J <br />$f'A rPlCf S l � o�� <br />REPLACE <br />CAUSE:; ,:;.: <br />� � �� <br />� ��� �; �� r �� ��j�t � <br />yY . n. S k'�' Y ¢ <br />RY: F1�w'i.�' i�ic.ob,�1%� ` � � <br />-- �•'�� <br />N <br />