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.K. . - .�. "Y •� �y.. .. � <br /> CITY OF EVERETT <br /> � r� <br /> DEPARTMENTOFPUBLICWORKS ' '•• ��5`'� <br /> UTILITIES DIVISION <br /> W.O. No. <br /> X ' Z_Z� . � AccL No. ��� <br /> Complafnt No. _ — <br /> UTILITY WORK ORDER <br /> Date: ___�_.a[�-c_ CY�NATER E� SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM O PUMP STATION B�REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> �� ��� �� ❑ RESERVOIR <br /> 11•2A' B9 <br /> ,,,, ❑ VALVE , <br /> ❑ MAN HOLE C0.�i� <br /> ❑ CATCH BASIN � �, <br /> G DITCH � <br /> Locatiorr. _ �//S/.UD f �//��F �CLt� <br /> W.O. instructlons:�U•� �YRciic E ����% b'-i C C�;7 i�Y-�C (o� <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . <br /> Material (cost) . Meterial (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDIJLIN(3 REQUESTED __ _ <br /> USE CHARGE ACCOUNT NUMBER BELOW FJR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ' <br /> Completion (Date): ��Z��l�y Cost:S_ <br /> Charge Account Number: Charge Cost To(Name): � e �1971�LUCIU� <br /> Address: J D QOX 33Z0 � �,rT/�I�i � �F'pqah zip: 97�0.�' <br /> Invoice No.: Amount:$ Date: <br />