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CITY OF EVERETT ��L9� <br /> ��""� DEPARTMENT OF PUBLIC WORKS <br /> V -� -a8"s ; <br /> UTILITIES DIVISION yy.0. No. I <br /> �89 9 I <br /> �O �� Acct No. �^�?S`= I 1 i <br /> �a�` 11`6� Complaint No. <br /> UTILITY WORK ORDER � <br /> Date: I I - ( �- � kC] WATER � SERVICE ❑ MAINTENANCE I'r <br /> ❑ SEWER ❑ MAIN ❑ OPERATION i <br /> ❑ STORM � � � ❑ PUMP STATION �! REPAIR I <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR � <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: J2 � � �'�� <br /> V1r'.O. Instructions: i:��t i :r" S r:...� I�_•' 1 �:-�'��+ r'� 'S�'',.�''�r'� <br /> , <br /> . . I <br /> i <br /> 1 <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 SLIP�S, ITEM�ZE <br /> �ABOR, EQUIPMENT, AND !�IATERIALS ON REVERSE SIDE. -�z., �+\��;'• <br /> Completion (Date): �"��� 7 Cost:$ <br /> Charge Account Number. Charge Cost To;Name): <br /> Zip:. <br /> Address: <br /> Invoice No.: Amount:$ <br /> - ----- ---- Date: _ _. <br /> �ies <br />