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5210 S 3RD AVE 2016-01-01 MF Import
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5210 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/8/2017 6:31:14 PM
Creation date
3/8/2017 1:23:31 AM
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Template:
Address Document
Street Name
S 3RD AVE
Street Number
5210
Imported From Microfiche
Yes
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� , � ��� . <br />� <br />,v+' �g� <br />�A�� �� <br />CITY OF EVERETT � <br />DFPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISIO <br />� �i V � "�� . <br />�1 � '' <br />.; � -�� ,;`� � � f�G <br />UTILITY WORK ORDER <br />5,;;� 7240 <br />w.o.Na'�`� X-3�-�`�-5 <br />Acct.No.Jr�S ��lf <br />� <br />Complainl No. <br />Dale: .�0� �� � W�+TER f GY S[RVIC[ ❑ MAINTENANCE <br />=` ❑ SEWER `'❑ MAIN O OPERATION • <br />❑ STORM ❑ PUMP STATION ,FS REPAIR <br />❑ TREATMENT (O CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCII BASIN <br />❑ DITGIi <br />, � <br />,�'�.L� S��•T�r1 -�'-� B✓�,- <br />Localion: , <br />W.O. Inslructions: <br />�f ia►�' �ti �,1�G <br />ESTIMATED <br />Labor (hours) <br />Malerial (cost) <br />Equipment (cosl) : <br />.,�..s.�,�... <br />ACTUAL "7 f�S <br />Labor (hours) . , . <br />Malerial (cosq . <br />Equipmenl (cosq : <br />SCHEDULING REDUESTED _ <br />USE CIiARGE ACCOUNT NUMBER BELOW �OR LADOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND M�TFFi;ALS ON REVERSE SIDE. C�-• 1�O, . <br />Completion (Date): ._/ �J�,� �Cost:S <br />Charge Account Number. Charge Cosl To (Name): <br />Address: _ <br />Invoice No.:_ AmounL� � <br />u <br />—� <br />� <br />� <br />
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