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� CITY OF EVERETT �4 �� <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> � W.O. No. <br /> . , TD��9 � � � ,i�• �� �, ,�� AcctNo. �-7S 1� _ <br /> �V <br /> UTILITY WORK ORDER �� Complaint No. <br /> Date: �' ��'�� � (� WATER �' SERVICE �( MAINTENANCE <br /> ❑ SEWER ❑ MAIN �O OPERATION <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ` ❑ VAIVE <br /> , ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �'�`S2a ,�Y�'��lJp"✓E <br /> .�—�\ <br /> W.O�Instructions:_ IS � � F w N�r�T�� Sr,�PY��r-� c 1l�1 !'� T T.r.-.' � � /-T-• ) <br /> C� �� 1� <<r'I��.P <br /> -�_ <br /> ESTIMATED ACl'UAL <br /> Labor(hours) . Labor(hours) . — <br /> Material (cost► . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULIhG REQUESTED <br /> USE CHARGE ACCOUNT NU�vIBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIFMENT, AND MATE IALS ON REVERSE SIDE. <br /> Completion (Date):�:� �7 Cost:$ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: _ Zip: <br /> Invoice No.: Amount:$ Date: <br /> vu <br />