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� ..._..�•-���;�,� . _ , - aCITi OF EVERETT ' ' "",•� .,,. <br /> , .. <br /> �r+.a.uxi�ai�.,'� .. �' � �i���aV �� r .�..� . . "��...: � . . • �rilrc a.,....:_,. <br /> � .�., r +. �-- �' - _... ...... <br /> - � -- - DEPARTMENT OF PUBLIC WONKS ' - "'"`�`L:z`""" <br /> ._ .� �,, s� <br /> ` T,._" �,4i^`-�" � UTILITIESDIVISION � " �' ;=^.{��' <br /> r <br /> .._ ...1 � ...�.� �.. �... � �u � . .a. 'v .�.r�.... .. �r.yf`!'�. . I.�.�K � - ..:1.� . '�4�V . <br /> , .,-,__...y _� . .. ,', <br /> . _. . __::.� _. <br /> W.O Na <br /> _ �.- <br /> _ , : � • _.....� ,,,.,,,:.,.�,.� -,_ <br /> _ i. .. _ Acct N ` J! <br /> � _. � . . <br /> r r �. �. > �:;' ° . 5 �-z$- S ---_ _ _. ° _,--�-_� <br /> . �"`` '.. -. �:-:. --- -' ' .. - r _'.:.� . _ 1 . <br /> . ! � UTILITY WORK ORDER I�/gq Na �S`r'�NG '�Complaint Na ` �'--`' <br /> _ _ ? ...., :Datec. =7, '7 E• ,f'�l � WATER �SERVICE _ .. . - <br /> � � 11� fv1AINTENANCF =� <br /> � � ❑ SEWER ❑ MAIN O OPERATION <br /> . . ;� <br /> ; , : ' � ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> � ❑ TREATMENT ❑ CONSTRUCTION <br /> _. _.. - -_ - � ❑ RESERVOIR . <br /> . _ ' ❑ VAWE - , - .. <br /> _ �- ----...----- _ <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> O DITCH <br /> l.ocat�on: 16os F�o�Pi OJ4 -r7,P . <br /> W.O. Instructions: _ r' Ff -r� ��q -��/�q L <br /> � <br /> I i <br /> , � <br /> ; , __ __ . . <br /> ' i <br /> � ' . _ . .. : <br /> t <br /> � . <br /> � <br /> � . <br /> @ � <br /> � if <br /> � i . . <br /> e ESTIMATED ACTUAL <br /> � <br /> 4 -Labor(hours) . Labor(hours) . <br /> �' ..` ,, . . _ Material (cosq : Material (wst) : <br /> . Equipment (cost) : Equipment (cost) : <br /> ' SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPME`iT, AND MATERIALS ON REVERSE SIDE. � <br /> , Completion (Date): Cost:$ <br /> � <br /> ; Charge Account Number. Charge Cost To(Name): <br /> : Address: Z�0., <br /> � .. . <br /> i Invoice No.: Amount:$ Date:� <br /> � <br /> I iies • <br /> . . . . . . , • .. . . ... � <br />