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, CITY OF EVERETT <br /> � - vEPARTMENT OF PUBLIC WORKS . <br /> 1 . J �s <br /> UTILITIES DIVISION W,p, No. / J - � � � "i'� <br /> Acct No. <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> � p SERVICE O MAINTENANCE <br /> Date: -�-� '� WATER MAIN ❑ OPERATION <br /> ❑ SEWER -� <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT i�( COPdSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> _ - - -�- '��� 1� v <br /> Location: � � � � - J '- <br /> �F , � � <br /> W.O. Instructions: <br /> - _ . _ �i <br /> i <br /> ACTUAL� <br /> ESTIMATED <br /> Labor(hours) • <br /> Labor(hours) • - <br /> Materiai (cost) • <br /> Material (cost) • — <br /> Equipment (cost) : <br /> Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> LABOR, EQUI MENOTUAND MABERIALS ON ROEVERSEOSIDE. E SLIPS. ITEMIZE <br /> Completion (Date): <br /> / /� _ s'�� � Cost:3 <br /> Charge Account Number:_� <br /> Charge Cost To (Name): <br /> Zip: <br /> Address: <br /> Date: <br /> Amount:� <br /> Invoice No.: <br /> 7/85 <br />