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' . <br /> 4 �-' CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS �° . 8478 <br /> UTILITIES DIVISION <br /> E W.O. N o. <br />, <br /> T f 7-"r > �- Acct. No. L. J S� `1�--- <br /> �,JC r�����}"�'' Complaint No. <br /> UTILITY WORK ORDER <br /> Date: (-- y �y � WATER � SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATIOV ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> j ❑ VALVE ,. <br />,� ❑ MAN HOLE <br /> � ❑ CATCIi BASIN <br /> I ❑ DITCH <br /> Location: _I�) � �L����N S� <br /> W.O. Instructions: /�,��F� ����i� CGY�Qt3 -S�dP <br /> ESTIMATED ACTUAL <br /> L. �or(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDUL�NG REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME S�IPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Compietion (Date): vL�� Cost:S <br /> Charge Account Number: Charge Cost To (Name): <br /> Address; Zip: <br /> Invoice No.: Amount:S Date: <br />