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• �lr "�_.��-�! <br /> a •i' CITY OF EVERETT <br /> �� <br /> DEPARTMENT OF PUBUC WORKS�a j � , _� �l �- : '�. ;.•,-4 6 4 3 <br /> � UTIIITIES DIVISION S I Z- -� S -`� <br /> � '� W.O. No. <br /> Acct. No. ���- � 73 <br /> UTILITY WORK ORDER Complaint No. <br /> Dete: .L�� L➢� WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER L�MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ffi�CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> , O CATCH BASIN <br /> ❑ DITCH <br /> �ocation: �� 1/ GJ G�C enJ <br /> . � -- <br /> W.O. Instructions: 6 TAP a nJ � � ���Ai.� • <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): ��� �� -�� Cost:S <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: ' Zip: <br /> Invoice No.: Amount:S_ Date: <br /> vas <br />� — <br />