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;� <br /> CITY OF EVERETT <br /> . ; �„ ��? �5 <br /> DEPARTMF_NT OF PUBLIC WORKS <br /> , UTILITIES DIVISION <br /> W.O. No. <br /> Acct No. (—�� ��y <br /> X lz-z8 - � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Dete: � 1 � `�� � �NATER � SERVICE MAINTENANCE <br /> � SEWER � MAIN � OPERATION <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE "Nc �s.T�r�„ <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �Ov � bY G/lSl/1�4 <br /> W.O. Instructions: D i s ra r Yc �T � ,Pti r �,.`,��vr" s ' .t'l i �r r `'� <br /> L �iTil>>�'��`.�' <br /> ESTIMATEO ACTUAL <br /> Labor(houra) . Labor(hours) . <br /> Meterial (cost) . Material (cost) . <br /> Equipment (cost) : _ Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BEIOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EOiJIPMENT, AND MATERIALS ON REVERSE SIDE. • <br /> Completlon (Date�: Cost:S_ <br /> Charge Account Number. Charge Cost To(Name�: i���D�L u��**«��vG <br /> AdAress: 1'0 °nX 4'?� o Pc��*t-�t rn v,Pr Zip:�� <br /> Invoice No.: Amount:$ Date: <br /> �a ' <br />