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�•(.:.♦ <br /> CITY OF EVERETT <br /> ' DEPARTMENTOF PUBLIC WORKS �:_ 8053 <br /> UTILITIES DIVISION <br /> . W.O. No. • . . <br /> ��i� Acct No. Ii"7 5 • � �.�I <br /> UTILITY VI/ORK ORDER �q P6Sc�� �" �JM�omplaint No <br /> Date:. �� ,�WATER •�SERVICE fd' MAINTENANCE,• <br /> . ❑ SEWER � MAIN ❑ OPERATION , . _ <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR ' <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: _��l'T �'�����n�it'��/ <br /> W.O. Instructions: ��� � ���//�� '���'!ry :J�'/� <br /> ESTIMATED ACTUAL �, <br /> Labor(hours) . Labor(hours) , <br /> Material (cost) . Material icost) <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE ' <br /> LA60R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ��� � Cost:S <br /> Charge Account Number. Charge Cost To (Name): <br /> Address: Zip:_ <br /> Invoice No.: Amount:5 Date: <br />