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� - . . . � .IYt1�.l:iy r' "� .. . ' <br />� <br />UTILITY WORK ORQER <br />FbS"� E D <br />CITYOF EVERETT -r�MMs 3�8y ��� �g46 <br />: �.. <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION t' �—z8- S <br />W.O. Na <br />Acct Na / 7 5� 1�� <br />Complaint Na <br />Datr. '�� WATER � SERVICE � MAINTENANCE � <br />SEWER ❑ MAIN OPERATIQN <br />❑ STORM ❑ PUMP 3TATION ❑ REPAIR <br />0 TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />Loo.tloo: 63 � � �L E�4 �iY6 .5�- <br />W.O. Instnictions: LN A.r/f-E GLilf 'f o"`" �'�� ��1 <br />ESTIMATED <br />LaDor�hour� . <br />Material (coaq . <br />Equipment (cosq : <br />ACTUAL �% //'KS <br />Labor (houra) . <br />Material (cost) . <br />Equipment (cost) : <br />3CHEDULING RE�UESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOH LABOR TIME SIIPS. ITEMIZE <br />LABOA, EQUIPMENT, AND MATERIALS ON REVERSE SIDE <br />Completion (Data): � �� � ��88 Cost3 <br />Ch�rpe Account Number. <br />AdMMesa: <br />Charge Cost To (Name): <br />Imroice Na: amount:5 Date: <br />