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- • CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS ` - S3� � <br /> UTILITIES DIVISION <br /> .� �i_ , W.O. No. <br /> l'-- � ', ' - s � � q <br /> Acct. No. L� <br /> �os-r��D - �,a 9 <br /> N� ����,� j�\� Compiaint No. <br /> UTILITY WORK ORDER <br /> Date: �� ��py f� WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SF�/YER ❑ MAIN ❑ OPERATION <br /> � STC�RM ❑ PUMP STATION �Y REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAIVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �►�da �8 �`� �l-��� <br /> W.O. Instructions: �����E� �R��L-''� ��R� �� <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. ITEMIZE <br /> LABOR, EQUIPMENT, AND h1ATERIALS ON REVERSE SIDE. <br /> Completion (Date): ������—Cost:S <br /> Charge.Account Number: Charge Cost To(Name): <br /> Address: Z�p'— <br /> Invoice No.: Amount:S Date: — <br /> ,�� <br />