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CITY OF EVERETT . � , 7;:� � <br /> DEPARTMENT OF PUBLIC WORKS N /�_ Z 9"� � <br /> UTILITIES DI4fSION ���`' f''`–`�� "v 1 <br /> W.O. No. <br /> AccL No. �^� � ���� <br /> Complaint No. — <br /> UTILITY WORK ORDER �h�=-!'��`��- -�`" <br /> MAINT�NA�i CE���L <br /> Date: ��' ���' ��� �� �NATER �f7' SER�LI�E � `� <br /> ❑ SEWER L MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION �- REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> G RESERVOIR <br /> C1 VALVE <br /> �f�y�ja ❑ MAN HOLE <br /> i <br /> ❑ CATCH BASIN <br /> 1„� ❑ DITCH <br /> � <br /> Location: �I{. ! I;�2��� �•��• <br /> W.O. Instructions: It ��--�-���� "�=''�—y <br /> ESTIMATED ACTUAL <br /> l.abur(hours) . L'abor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED ' <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOFi TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIA�S ON REVERSE SIDE. ,..��-.��,;;:. <br /> Completion (Date): n9��� _CosL•5 <br /> Char9e Account Number. --.Charge Cost To (Name): <br /> _ZiP:�-- <br /> Address: _ <br /> In��oice No.: <br /> Amount:S Date: �— <br /> �ies <br />