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"' ' , ' , . . CITY OF EVERETT �."�` i�'-/-y <br /> �� � DEPARTMENT OF PUBLIC WORKS �::= 8398 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> i T3 i -�-� - � Acct No. L7 S- 1I �J <br /> UTILITY WORK ORDER Complaint No. y <br /> Date: S� ���°�� _ WATER � SERVICE �MAINTENANCE i <br /> f <br /> SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> O CATCEI BASIN <br /> ❑ DITCH <br /> Location: �����-- <br /> W.O. Instructlons: �T�l� �� ���7r�.(,1�`� <br /> ESTIMATED ACTUAL <br /> Labor(houra) . Labor(hours) . <br /> Meterial (cost) . Materlal(cost) . <br /> � Equlpment (cost) : Equipment (cost) : <br /> :::; <br /> �^: 'SCHEDULING REOUESTED <br /> ., <br /> J•� <br /> }�, z�;.��USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> � ,,,� • LABOR, EOUIPMENT, AND MATERIALS ON RCVERSE SIDE. <br /> . Y�' � i , .. <br /> � r. �.�,) , <br /> 'i�'��;;Completion (Date): 5����"7 Cost:S <br /> .' ���Charge Account Numberf Charge Cost To(Name): <br /> '' j i :� �� � - � . � . . � . <br /> t +� � �1.1' -`• <br /> _Address:. Zfp: <br /> 'Invoice No.: Amount:3 Date: <br />