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_ G� �=�C � <br /> . CITY OF EVERETT " J" TUN+rti: (�� 7905 <br /> DEPARTMENT OF PUBLIC �NORKS V ��_�; i- •� <br /> UTILITIES DIVISION W,p, No. <br /> Acct No. � �S 1�`� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Dete: � ` — �� WATER <br /> � SERVICE � MAiNTENANCE <br /> D SEWER MAtN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> p TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: _ � . <br /> d.t//_C' ,6F-�,PV/6� �L/�'r � ��� <br /> W.O. Instructions G�-� <br /> --- <br /> ---- <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cosq : Equipme�t (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMSER BtLOW FOR LABOR TlME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �\:. �� ,�: <br /> Completion (Date): —�6 <br /> � � Cost:S <br /> Charge Account Number: Charge Cost To (Name): <br /> _Zip: <br /> Address: — <br /> Invoice No.: <br /> Amount:S Date: <br /> i ies <br />