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' CITY OF EVERETT <br /> , DEPARTMENT OF PUBLIC WORKS S`:; 83 J3 <br /> UTILITIES DIVISION <br /> `,l , W.O. No. <br /> I � -_- _ .- <br /> �C;_`� - ��� Acct. No. L7 f- 1� �J <br /> , �� :/`'�� <br /> UTILITY WORK ORDER x�" T�}�,� ,• _ Complaint No. <br /> Date: 5������y I�WATER ,� SERVICE ,� MAINTENANCE <br /> O SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> /�j/ �G¢PG���J ,_ ❑ MAN HOLE <br /> ����1 <br /> � � CATCH BASIN <br /> �},� ❑ DITCH <br /> Location: 12�7 — 1 "zI I � i5 J? 9lti��tr+�y <br /> � <br /> W.O. Instructions: K' � � S �.rPY1 �$ <br /> ESTIMATED ACTUAI� <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cosi) . <br /> Equipment (cost) : Equipment (cost) : " <br /> SCHEDULING REQUESTED <br /> _ USE CHARGE ACCOUNT NUMBER BECOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> � Completion (Date): _S�L3� 9 Cost:S <br /> =Charge:Account Number: ' Charge Cost To(Name): ' <br /> �' Addresa.i i _ . ; . <br /> -- – - – – _ _ Z�p . <br /> Invoice No.: Amounl:5 Date: _ <br />