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• CITY OF EVERETT �.�_ 410 5 <br /> DEPARTMENT OF PUBLIC WORKS <br /> �� � �, C" / "� <br /> U�TIRLId�ES DIVISION � yy.0. No. _ <br /> .� <br /> y <br /> ,���r.�.a'� ..f�� C� Accl No. �... / , � � �/ <br /> r�l I� I I v <br /> Complaint No. — - <br /> UTILITY WORK ORDER <br /> Dete: � � ' — I� WATER �' SERVICE �3 � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM O PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> O RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: — ���d��� <br /> W.O. Inatructions: ��/`� �G�5��������'��* � " "��='r <br /> ESTIMATED ACTUAL <br /> Labor(houra) . Labor(hours) . <br /> Materiel(cost) . _ Meterial(cost) . <br /> ' Equlpment (cost) : Equipment (coat) : <br /> SCHEDULING REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABUR 'i IME SLIPS. ITEMIZE <br /> ' LABC�, EQUIPMENT, ANO MATERIALS ON REVERSE SIDE. <br /> ' Complellon (Date): �� 8 CosY.$ <br /> i <br /> � Cherge Account Number. Charge Cost To(Name): <br /> Zlp: <br /> Addrnss: _ — <br /> Invoice No.:__--�--�ls` Amount:$ Da.te: <br /> ,U� <br /> iies � i <br />