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- CI7Y OF EVERETT <br /> ._ . _,� . <br /> DEPARTMENT OF PUBLIC WORKS � . . $ Q O 5 <br /> � _ UTILITIES GIVISION <br /> W.O. No. <br /> � <br /> _� __. . �_ _ ... � �� z $� � ; Acct No. Ls• � i �j . ., <br /> UTILITY WORK ORDER Complaint No. � ' - - � <br /> Date: ���� �'� �j WATER \O�SERVICE <br /> [�MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ ��IAN HOLE kr L 8q� <br /> � CATCH BASIN RFNELt! <br /> +1:� <br /> ❑ DITCH 9-28 —89 <br /> Location: _ 2 H-t-�; C'04[J pi B/�q ,al� <br /> W.O. Instructions: �PE�EkV �I/,fT�,,r cQq�//C�' <br /> _ P�sr=� ;z-i.4-E� <br /> ESTIMATED ACTUAL <br /> Labor('�ours) . Labor(hours) . <br /> Materiai (cost) . Material (cost) . <br /> Equipment (Cost) : Equipmunt (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBEF? BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ 9�2�.�u Cost:$ <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: <br /> Zip:. . <br /> invoice No.:_ Amount:$ <br /> Date: <br /> iios . <br />