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WORK ORDER REQUEST <br /> CITY OF F,VERETT <br /> TOTAL UTILITY NIAINTENANCE M.�NAGFD�ENT S1'STED'I <br /> CM WORK ORDER ID: <br /> PROG: ' /�J FI.TNC:� ACTY:� W.O.: ��5� <br /> DATE ISSUED: `7 —/�—�`/f ISSUED BY: 7L� �!� � <br /> ASSIGNLD TO: <br /> TITLE: AFTER HOURS ADNST CLEAN CONVERT INSTALL <br /> [circle one] � -� <br /> MAINTAIN PRIVATE � RENEW REPAIR REPLAC� <br /> TAP OTHER <br /> ADDRESS: GS � Zi�' /f � ��, �� . - <br /> TUI�1�'vIS 1D NUMBERL/J�S ( 4; h�Wi`;p r� cioc�t.1RACTGRSNEEDED) <br /> SIZE AND TYPE OF PIPE TO BE INSTALLED: <br /> LENGTH OF PII'E TO BE INSTALLED: <br /> COMMENTS: <br /> � � � � � � '� <br /> R'ORK ORDF.R COhIPLETED�I�l� BY:�ry� �; <br /> /,d'1 L�'� <br /> SC R'nRFQIS1=vJ1 <br />