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.�•aro. .�,- „ . .. . . . � � . . .� <br /> . CITY OF EVERETT <br /> C ��� � DEPARTMENT OF PUBLIC WORKS � °— � � d7 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> ���, '`�� Acct. No. <br /> UTILITY WORK ORDER !'�"c � Conplaint No. <br /> Date: S= � '�f� jd WATER ,'�1 SERVICF ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN � OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ �.4AN HOLE <br /> ❑ CATCH BA�f^! <br /> ❑ DITCH <br /> Location: �"b��/r���LU�UmQ /�tl�� <br /> W.O. Instructions: <br /> � S ,a ; '�:, � l �� vC\ \ ., ". <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> ., _. <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL P5. ITEMIZE ` . <br /> LABOR, EQUIPMENT, AND MATERIALS ON REb'ER�SIDE�� �s . , . } : <br /> Compietion (Date): Cost:S � <br /> : .. . _ <br /> , . . . <br /> Clia�ge Account Number. Charge Cost To (Name): <br /> ..:7.:. .N. _. , . . <br /> - Address - - Zip: . <br /> Invoice No.: Amount:S Date: <br />