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- � CITY OF FVERETT <br /> DEPARTMENT OF PUBLIC WORKS �- 5478 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> 7- � 7-i'7�= Acct. No. l� 7��`1� <br /> UTILITY WORK ORDER �� �c�'`UC� Complaint No. <br /> Date: 1 - ��y � WATER � SERVICE ,x� MAINTENANCE <br /> ❑ SEWER ❑ MAIN� � � OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERV�IF <br /> � VALVE . <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �� ►"V����✓ S� — <br /> W.O. Instructions: ,Q�����/� ���8 �dp <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> IABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): v��� Cost:S <br /> Charge Account Number. Charge Cost To (Name): i <br /> Address: Z�P� <br /> Invoice No.: Amount:5 Date: <br />