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CITY OF EVERETT <br /> �Z � � DEPARTMENT OF PUBLIC WORKS �'!:.' 9354 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> � 2� — Z9 —S Acct IJo. � ��— I/y <br /> No PosT1►JG <br /> UTILITY WORK ORDER Complaint No. <br /> Date: �— � � y� � WATER � SERVICE CS MAINTENANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAIVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> O DITCH <br /> Location: �l0 � � �.����_ _ <br /> W.O. Inatructions: �d�� O�U�����,/� �,� tin� _ <br /> �m�i�C�'� �6 <br /> � : � s. � � �� ., � �,>. <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . <br /> Material (cost) . Material (cosQ . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLTPS. ITEMIZE <br /> IABOR, E�UIPMENT, AND MATERIALS ON REVERS�F t�S vE. � . <br /> � �Z' :� t.y��.>> : <br /> Completion (Date): Cost:S <br /> Charge Account Number: _Charge Cost To (Name�: <br /> Address: Zip: <br /> Invoice No.: Amount:5 —Date: <br /> ves • <br />