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GTY OF EVERETT �� � r� <br /> � � „ DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISIO�Jie/�S W,O. No. <br /> ��� 2g'7 ACcL No. l- 7 5 / 1 /.J <br /> �/� S� <br /> P Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �_=� � � ,' Y ;� ,WATER Gf SERVICE -f� MAINTENANCE <br /> i ' <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TRFATMENT ❑ CONSTRUCTION <br /> ❑ RF.SERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ����1 �p�N/ � <br /> W.O. Instructions: d' � 1 �. r �� i'/ !! !�"1 I ,r� ! 1 r"l i '<� <br /> t� 0 5 <br /> 1 -25-39 S.Te�( C. T,ffe.-� ��t �/3;3, -�41f�-g 3�oS-5 H�-S <br /> /-L� �U 1 S•.IP/iC C. i,f{�'%''��, y� 3� 3So5- �/{�S � 9�s - 6 h`�c-s <br /> . <br /> ESTIMATED ACTUAL {o � S <br /> Labor(hours) . Labor(hours) . <br /> Mate ial (cost) . Materiat (cosq . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVEFISE SIDE. <br /> Completion (Date): �'������� Cost:� <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> Invoice No.: Amount:$ Dale: <br /> �ias <br />