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- . .. <br /> CITN OF EVERETT <br /> . �.. . .. � <br /> DEPARTMENT OF PUBLIC WORKS "� � � � 2 <br /> UTILITIES DIVISION ', `2 �' �� -' <br /> •' W.O. No. <br /> I OSTcD S/B9 // 7 �^ J 7 , <br /> i bIMS S�g9 Acct No. <br /> UTILITY WORK ORDER Complaint No. _ <br /> Date: ���9— f� WATER ❑ SERVICE O MAINTENANCE <br /> , <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM � PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> C MAN HOLE � <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: _ '�� � C��.y��,�/�y�-P/ <br /> W.O. Instructions: <br /> R ��oc,�iTE F=�R� H YDRA�/T' <br /> ESTIMATED ACTUAL <br /> Laborlhours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : _ <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIMc 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:� Date: _ <br /> i ias <br />