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� <br /> ,, z. , <br /> ! . CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS !�.._ S3� � <br /> UTILITIES DIVISION <br /> i 'L, `� � � c�, ,J W.O. No. <br /> I .� � = ' <br />�i Acct. No. L 7 S' � � �/ <br /> � ��`'��D - �a9 <br /> UTILITY WORK ORDER IV� Tl.l� i�\� Complaint No. <br /> Date:. �5� ��'p� i� WATER � SERVICE <br /> ❑ MAINTENANCE <br /> I ❑ SEWER ❑ MAIN ❑ OPERATION <br /> � ❑ STORM ❑ PUMP STATION EY REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> O MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: _�n� �RI'I,dG��j/� <br /> W.O. Instructions: /� ��� C ,Qp�/��'�/ ��� ��' <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 BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ ���1�q Cost:� <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: <br /> Zip:. <br /> Invoice No.: Amount:S <br /> Date: <br />�,o� <br />