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CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS . ••• � �f � <br /> UTILITIES DIVISIOtd <br /> W.O. No. <br /> � 29ry' - 5 AcctNo. 1�7 ; i)� — <br /> UTILITY WORK ORDER Complaint No. <br /> 6ate: � ��' ��'� WATEF; �C3 SERVICE p�MAINTENANCE <br /> � SE,NER ❑ MAIN �O OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> � �='�� �� ❑ RESEFVOIR <br /> �z-�3-fm9 <br /> ❑ VALVE <br /> ❑ MAN HOLF NTL S 6 9�► <br /> ❑ CATCH BASIN KILLED- 31 I 9 C�DAP` <br /> ❑ DIrcH 9-zz -89 / <br /> Locefion: � 1� g - L L /»�$ <br /> W.O. InstrucNons: _�� � L � �RYI G r <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . <br /> Materlel (cost) . Material (cost) . <br /> Equipment(cost) : Equipment (cosq : <br /> SCHcDIiLING REQUESTED <br /> USE CHARGE ACCOUNT i�UMBER BELOW FOR LABOR TIME SIIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date�: q'zZ'�� Cost:B <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: _ ZiP: �i <br /> Invoice No.:_ Amount:S Date: <br /> vee <br />