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f . CITY OF EVERETT gyp7 <br /> „� <br /> �� ��`� aEPARTMENT OF PUBLIC WORKS ` ' �'+- P'�� `° •� <br /> .. - r�. . <br /> 'JTILIT�ES DIVISION � <br /> N28�_ W.o. No. <br /> ��.= S ,� �i��� � � <br /> . .. .:. _ �� ,Z_„_ � __.._.. <br /> - - -- -- --:-�-;:-- __ Acct No. <br /> UTILITY WORK ORDER Complaint No. <br /> Date: 7"�8� ❑ WATER O SERVICE ❑ MAINTENANCE <br /> ❑ SEWER �MAIN ❑ OPERATION <br /> � STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT �-CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN ` <br /> ❑ DITCH � <br /> Location: ��7 ` �� �,/Y��ss �—�. <br /> W.O. Instructions: �i�STLL- ��� ,U,��//� �/�� • <br /> � <br /> °� ,s � <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. ITEMIZE <br /> LABOR, EQUIPMENT,AND MATERIALS ON REVERSE SIDE. , <br /> , :c_, 1' . <br /> Completion (Date) �`�- '��`"7 Cost:$ <br /> . ,L _ ;.. ,. <br /> 'Charge qcccunt,Number � Charge Cost To (Name): � ' ' <br /> Address • . - ' , /• _' - Zip: <br /> . . ,.,_. ..�.__.... . _ ... <br /> Invoice No.: � � Amount:$ Date: <br /> ves • ' <br />