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CITYOFEVERETT , ' ]I($.� <br /> - , � DEPARTMENT OF PUBLIC WORKS <br /> UTlLITIES DIVISION <br /> W.O. No. <br /> ad�Z/� CJ `, <br /> Acct No. U�S' � I <br /> � / Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �' ��" �� � t� WATER � SERVICE ❑ MAINTENANCE <br /> O SEWER � MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: -�,r��� �" � 1�PG A'i C v !<!'/ <br /> W.O. Instructions: h Gi�L ��� �`'ac►CG -s ;;r�k✓ y��l-1�t <br /> ESTIMATED ACTUAL S <br /> Labor(hours) . Labor(hours) . <br /> Alaterial (co�t) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME IP3� EMIZE <br /> IABOR, EC�UIPMENT, AND MATERIALS ON REVERSE SIDE. �>.,�� <br /> Campletion (Date): „������U Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p' <br /> Invoice No.: —_Amount:S Date: <br /> ves <br />