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CITY OF EVERETT ,: <br /> �V� �' DEPARTMENT OF PUBLIC WORKS r+= 490 t <br /> UTILITIES DIVISION �Zr ,�-�-�-�Z <br /> W.O. No. <br /> � Acct No. 1 �s���7 — <br /> + _ <br /> Co�nplainc No. , <br /> UTILITY WORK ORDER <br /> Date: � ' C3�WATER L�SERVICE C�MAINTENANCE j <br /> ❑ SEWER 7 MAIN ❑ OPERATION � <br /> � STORM ❑ PUMP STATION G PEPAIR I <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ❑ MAN HOLE <br /> �.�//�o � ❑ CATCH BASIN <br /> / ❑ DITCH <br /> Locati : �� { S'�OS C`,P�sc'F�T _ <br /> W.O. Instructions:�/�'e �/osT. � J`�.Pui� � ��Xes l�U�f � C'./- <br /> ��/,�,i,'-e doxes <br /> \ 4 ) v . <br /> � �; - 4 <br /> \ _ . .. �, .� . <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS.•I7�MIZE ` <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 /> � <br /> Invoice No.:_� Amount:S Date: <br /> � iies <br />