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i <br /> � <br /> � - c�- � - ..`� � <br /> CITY OF EVERETT <br /> � DEPARTMENTOFPUBLICWORKS '`i' 9035 <br /> � <br /> ' UTILITIES DIVISION <br /> - �'osT�t� 4 �"u1�1Ms �` W�O' "O. <br /> 5/9� Acct. No. ����� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �� O WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> `�--STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT �CONSTRUCTION <br /> ❑ RESERVOIR <br /> / " ` � ❑ VAWE <br /> , � � .� ❑ MAN HOLE <br /> DLEATCH BASIN <br /> ❑ DITCH I <br /> Location: ���C7 � ��k �� �G � <br /> W.O. struction • ������L � �/ // ��/�/�� �/�� '' <br /> / - � <br /> � <br /> i <br /> — - I <br /> I <br /> I <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cosi) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : I <br /> SCHEDULING REQUESTED I <br /> USE CHARGE ACCOUNT �JUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE il <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE, i <br /> Completion (Date):�—� ��� l� Cost:$ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: _.____ Z�p; � <br /> Invoice No.: Amount:$ Date: i <br /> I <br /> y�� 1;P5 <br /> Lf"' <br /> I <br /> I <br /> I <br />