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CITY OF EVERETT ,---;-�^ ' ]]6 g <br /> 1 DEPARTMENT OF PUBLIC WORKS/a9 �ur"r� � � <br /> UTILITIES DIVISION <br /> W.O. N 0. <br /> Acct No. t� 7 e5 7� <br /> � Complaint No. <br /> UTILITY WORK ORDER <br /> Date: ��"������WATER I�SERVICE O MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> O TREATMENT Q�CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVF <br /> ❑ MAN HOLE <br /> 3 ��/ �^�,/�/� C� ❑ CATCH BASIN <br /> � � ❑ DITCH <br /> � <br /> �ocation: „�.5 �A o '�D �� i .•J �'o.L f3 y �•�s% f, c1E- <br /> W.O. I�structionxJ� t'Lc/�e�! Or" 5��1//Cc S /t�� �.d-JSr'/Z /,,J !/S� <br /> F��'1J r--1 f's' ,/ C' . M l9 i.✓ <br /> ESTIMATED ACTUAL <br /> l.abor(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, ANO MATERIALS ON REVERSE SIDE <br /> Completion (Date): Cost:$ <br /> Charge Account Number. Charge Cost To (Name�: - <br /> Address: Z'p� <br /> Invoice No.: Amount:5 Date: <br /> res <br />