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CITY OF EVERETT , �. ]�� � <br /> DEPARTMENT OF PUBLIC WORKS <br /> •• ' UTILITIEB DIVISION W,p, No. <br /> � �1 <br /> Acct. No. � � y � � <br /> �✓1'� Complaint No. <br /> UTILITY WORK ORDER <br /> Oste: '�� F� WATER .fd SEiiVICE O MAINTENANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION $' REPAIR <br /> ❑ TREATMENT ❑ COhSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Wcation: T'-�T� � � f. ,1 /�7 ,i ._ <br /> W.O. Instructlons: n'� /'t i�c �_ ,��t'� K� �- v�� r► '-�� <br /> e d�IQ c r ,rn k r �n r Ib .�� '��/ /�� <br /> E3TIMATED ACTUAL <br /> Labor(houra) . Labor�houra) . <br /> Meteriel(coet) . Meterial(cost) . <br /> Equfpment (coat) : Equipment (cost) : <br /> 3CHEDULIN(3 REDUESTED <br /> U3E CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS..,�TEVNU�E�` <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. \ 1 ,_ <br /> Completion(Date): 3 � > > Coat:3 <br /> Cherpe Account Number. Charge Cost To(Name1: <br /> Addreas: Z�p� <br /> Invofce No.: Amount:5 Dete: <br /> tns <br />