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CITY OF EVERETT c�go� �„�.�tTvMMS �Q g 8 <br /> DEPARTMENT OF PUBLIC WORKS <br /> �� .r� UTILITIES DIVISION <br /> W.O. No. <br /> Acct No. � 7 S- I ) <� <br /> Complaint No. <br /> UTILITY WORK ORDER . <br /> Date: _��'��' 7�� I� WATER lp� SERVICE ,�X MAWTENANCE <br /> ` ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> G RESERVOIR <br /> ❑ VALVF <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: G-�.._7a� G�� Ave _ <br /> N'.O. Instructions: �� ����riT� � `��''�� — <br /> ESTIMATED ACTUAL /�IeS <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : -- <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, �aND MATERIALS ON REVERSE SIDE <br /> Completion (Date): U� �� � q _.Cost:S <br /> Charge Account Number._ Charye Cost To(Name): <br /> Address: Z�p� <br /> InvoicP No.: Amount:5 Date: _ . <br /> �C5 <br />