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rt � -' . _ ., .�. _.. . .. �.�:,•_L'-�•- • • '- , � <br /> .1, • � � ClTY OF EVERETT t� 4 6 41 <br /> • • DEPARTMENT JF PUBLIC WORKS'7� ��=�;;�i�u`�r+�a, <br /> UTIUTIES DIVISION �- � � <br /> W.O. No. — <br /> Acct No. �� g — �� � <br /> Complaint No. <br /> UTILITY WORK dRDER ' <br /> Date: �i�I�-_ ,rJ V✓ATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER S,f`J MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ,P�1 CQNSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> S8'?S� ��A,D(dJ/J y❑ DITCH <br /> Location: r``lC � � ���� �� ��I 1J- �,,� _ <br /> W.O. Instructions: <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material �cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED — <br /> USE C�HARG[ ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOii, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ��� °�� � �� Cost:S - <br /> Char�e Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> Invoice No.: <br /> Amount:� Date: <br />