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12006 14TH DR SE 2016-01-01 MF Import
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12006 14TH DR SE 2016-01-01 MF Import
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Last modified
4/4/2017 11:42:38 AM
Creation date
4/4/2017 11:42:34 AM
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Template:
Address Document
Street Name
14TH DR SE
Street Number
12006
Imported From Microfiche
Yes
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! � � <br />� <br /> CITY OF EVERETT �47 � <br /> DEPARTM�NT OF PUBLIC WCIRKS <br /> UTII�ITIES DIVISION <br /> � . � J WO. No. <br /> � "'�I�g$ . , _ :` -' �i 7; 1 � y <br /> � ,�i r � Acct. No. _ <br /> t!""fii_ �1, ���c. <br /> �'"� �� Complaint No. <br /> UTILITY WARK ORDER .r, � - <br /> Date: �- 3"�". � WATEH lp� SERVICE O MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATIO� <br /> ❑ STORM u PUMP STATION Fd REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> �� <br /> Location: � ���— � y .DR �C <br /> W.O. Instructions: k7 t%/��> i)? 5�-.C'�! �-G <br /> � <br /> ESTIMATED I ACTUAL <br /> Labor(hours) . Labor(hours) . _ <br /> Material (cost) _ _ Material (cost) . _ <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTEU <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): 3 -/ - �d Cost:� <br /> Charqe Accouni Number: Charge Cost To (Name): <br /> Address: _ _Zip; <br /> Invoice No.:_ Amount:S Date: <br /> ves <br />
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