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i. , CITY OF EVERETT <br />. �, DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� <br />�- 2�1 Z � �- <br />1 /Jr�� A�. <br />/).V ✓ <br />:';._ <br />n � �, <br />_ Acct. No. � � S' � �y - <br />Complaint No. —. <br />U7'ILITY WORK ORDER <br />�ate: S- / 7' S 9 RJ WATER �J SERVICE � MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: ��� '�£ �✓�r�� ���� �Q� <br />W.O.Insiructions:_�4E.� �!�°�e,� ,�gAJ� �r� ��, <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED _ . <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. RENi�c.o � <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. '' <br />-; Completion (Date): Cost:S <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />Amount:S Date: <br />� <br />