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, . . . . . . . , . <br /> CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS . •-: �392 <br /> UTILITIES DIVISION <br /> � 2� �2� —S W.O. No. <br /> Acct. No. L 75 �� y <br /> posrc-� - /s� <br /> UTILITY WORK ORDER /�/o TVl M N15 Complaint No. <br /> Date: 5 I � 1 �I � WATER 4�e1 SERVICE � MAINTENANCE <br /> ❑ SEWER �O MAIN ,❑ OPERATION <br /> ❑ STORM ❑ nUMP STATIO!'i � REPAIR <br /> r TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: f��� ��IJJ �l'!�/¢y <br /> W.O. Instructionx �� '�G� f��A/� �jyp ��qiE�'j/��L <br /> �h�� �'��� - ,�'�i, � re /�I�T`�2�,�' — <br /> ESTIMATED ACTUAL <br /> La6or(hours) . Labor(hours) , <br /> Material (cost) , Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE LHARGE ACCOUNT NUA+BER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> �Completion (Date): T_��y Cost:S <br /> Charge Account Number. Charge Cost To (Name): <br /> Address:. <br /> Zip: <br /> Invoice No.:_ Amnnnrg Date� <br /> . <br />