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CITY OF EVERETT 7 E 3 3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> ' UTILITIES PIVISION <br /> 4�Ft? Pc�'�'�L 1)oT_�i ��:; W.O. No. <br /> F:c^ , <br /> • Acct No. ��' /S-��9 <br /> % (� _ �'� _ <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: � 3 �Pa � WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM O PUMP STATION �. REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> (� S �C� ❑ DITCH <br /> Location: �f" ���� � �a V <br /> " p �S'eR V �c � �Lcuk��co,a <br /> W.O. Instructions: �jO e9� � �' 3�S� ! �l�s� �c _ �— � <br /> ESTIMATED ACTUAL � �7�5 <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment(cost) : Equipment (co�t) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ���r r�� Cost:S — <br /> Charge Account Number: Charge Cost To (Name�: <br /> Address: Z�p' <br /> Invoice No.: Amount:S Date: <br /> �ies <br />