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CITY OF EVERETT <br /> � , � �;:r� �775 <br /> �« � DEPARTMENT OF PUBLIC WORKS <br /> � UTILITIES DIVISION <br /> � C 2..�1- 2.8_ y . w.o. rvo. <br /> ; Acct No6,(' - //9 <br /> i <br /> �� Complaint No. ' <br /> I UTILITY WORK ORDER �s �.IP�'c�' <br /> Date: � �� �� p O WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION G REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> i ❑ RESERVOIR <br /> � ❑ VAWE �as�..*� iz—�z-b9 <br /> � ❑ MAN HOLE <br /> � ❑ CATCH BASIN <br /> ❑ . DITCH <br /> Location: <br /> /�'laTe / �o �136� �o L--veryi'ee <> �a� <br /> f'�� .� � !� rse� utL 87�9 <br /> W.O. Instructions: ' ` u �� R�PAIR M ��rR. <br /> �-w-8`t <br /> �� S`t`:, s ` �> >• �� <br /> ESTIMATED ACTUAL <br /> ' Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . _ <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> '� USE CHARGE ACCOUNT NUMBER BELO'.N FUR LABOR TIME SLIPS. ITEMIZE <br /> i LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SICl�_,�-� i.�,,.,,,:, <br /> � <br /> i <br /> j Completion (Date): —Cost:$ <br /> i <br /> � Charge Account Number. Charge Cost To (Name): <br /> � Address: _ _ Z�p� <br /> Invoice No.: Amount:$ Date: <br /> ;es <br /> . . . ., � <br />