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..; p .. . .. . . . ,: <br /> : _ � .. r-- '!}( -CITY OF EVERETT ' :.. ' ' : I <br /> .. ••-p't••�-r �p-ry•+.�x..'TeN -'.." ", .' - �C f'-�.9:]�:? ,.J r :�,e: . . . .. ..' ' 7�r: .] - ' ' <br /> .,,�.... �i�..v�uYria.ITf 5 �i i� : . � . � .-. ... .. .. .. �. . . . ......_�_ •..�:WaL2 ...+..�.�._. : <br /> .. ._.., . _.,. _ . DEPARTMENT OF PUBLIC WORKS .._.:. +µ . <br /> ,>, .. <br /> � UTILITIES DIVISION ` '" _. <br /> _ .- : t > _ �: <br /> .-..� -,-, , i -�„-,� �,A, ,3-: W O No »r,. <br /> ., :� "'-.'.'^�'+'.'��!'-"hr.3'^^."!'`_' - . . ... 3.. . �'^'!. . . • ' - .�. <br /> . . - , . ...=rro ?s�.rr_ o . . <br /> . . . ._:"; .,..1 . , :. � .�_. . ..: . . . . <br /> __ � ._ ' _ _. . Acct No L7_T�`1� <br /> t _ . � � . 5 � ��Zg�.$ - _ . _-_r � i. !�._. <br /> ._-.•--:, � ,.,�., t�r-i�.nz�n.g� _:.. ..: . : :.:_: . i�.:.��_. . . :.- --- -----� . .. . . . .,_... �.':_.� <br /> I � UTILITY WORK ORDER I�/�q No � ��"s1-�Nb Complaint Nd • <br /> --- Date �7' � ��.i.�� WATER CIYSERVICE lJY MAINTENANCE <br /> � � ❑ SEWER ❑ MAIN ❑ OPERATION <br /> . . ;' <br /> ' ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ... . , . _ ; <br /> • , . _.;.._ .... <br /> -"" ' _ ❑ TREATMENT ❑ CONSTRUCTION. ' <br /> � _ `--__ ; - ❑ RESERVOIR . . _ ' <br /> -- ------------ . <br /> __ -- - � <br /> - - ❑ •VALVE <br /> . —• -- - -----_ . ❑ MAN HOLE _ <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �60-'� F��P10J4 �7�Q - <br /> W.O. Instructions:�= L{ �riY .1�f A "�/�4 L <br /> ; <br /> i - <br /> i <br /> �. _ __ . . <br /> i <br /> i <br /> � <br /> : _. . . . .. ,,.. . <br /> , <br /> i . <br /> ; > . _ � � . <br /> � — <br /> I . <br /> � ESTIMATED ACTUAL <br /> , -Labor,(hours) . Labor(hours) . <br /> �,_ ._ , Material (cost) Materiai(cost) . <br /> . Equipment (cost) : Equipment(cost) : <br /> : . . _ <br /> ' SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SUPS. ITEMIZE � <br /> � <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. • <br /> �Completion (Date): Cost:$ <br /> I ; Charge Account Number. Charge Cost To(Name): <br /> i Address . - Zip; <br /> � � ' . . . . . . <br /> ..• : . .. ; <br /> i i Invoice No.: Amount:$ Date:� <br /> i ves ' <br /> . . . . . . <br /> ,, . .... .. . . . . _, . . _ . ;�. - .:. � � <br />