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�ICITY OF EVERETT <br /> ,�« :� DEPARTMENT OF PUBLIC WORKS t ' '� n �7� <br /> UTILITIES DIVISION <br /> C 2.�1- 2�- y w.o. No. <br /> Acct No,G ^ //� <br /> Complaint No. <br /> UTIUTY WORI< ORDER �s ��PTc,c� <br /> p�re; y• �� �� p G WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE '��'-' i`�Z-g� <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> /�'IoT� / � /v �c� � L�eryrec.<� GCJa� <br /> � ' `/ ur� 8�-t9 <br /> � !,c r Se/ <br /> W.O. Instructions: ��� �G �� RicPAl ,2 ��1 ���IZ <br /> i-r.r.-31 <br /> ! <br /> � � ..� ,• -,� <br /> \ 5��:: t <br /> i <br /> � <br /> � <br /> � ESTIMATED ACTUAL <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. ITEIv11ZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SI❑ ' <br /> ��,�.:_� �.a�. , .;, <br /> Completion (Date): Cost:� <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p' <br /> Invoice No.: Amount:$ Date: <br /> ;as <br />