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i <br /> • . CITY OF EVERETT ,.; 7�4� <br /> DEPARTMENT OF PUBLIC WORKS _ <br /> N /�-� �1 - � <br /> UTILITIES DIVIS�� <br /> W.O. No. <br /> � b�g8 y� Acct No. �75-1�� I <br /> UTILITY WORK ORDER ,ic.� '��' �n„�rI` Complaint No. I <br /> � .,��.� �.. t+:v :y <br /> Date: � �- .?�" ��' WATER ,� 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: ! 3� � BRoA O[�q 1/ <br /> ; <br /> W.O. Instructions:�N f;r r- c r;�l �r; �,�.-H G c.fT-t,,- i, ,::rs.� <br /> . � <br /> ,. <br /> ESTIMATED ACTUAL S <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost► . <br /> Equipment(cost) : Equipment (cost) : <br /> SCHEDULING REOUESTED <br /> USE CHAHGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVEFlSE SIDE. � _ '\� - . <br /> ..tt�T'G\:\J�. <br /> Completion (Date�: l��?3���� Cost:S <br /> Charge Accou�t Number. Charge Cost To(Name): <br /> Address: �' Zip: <br /> Invoice No.: Amount:S_ Date: <br /> �ise ' <br />