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CITY OF EVERETT 74g 9 <br /> , <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILI i I�S Dll�lSION <br /> / W.O. No. <br /> �7 �� �Lg�✓� Acct. No. .�7ti ll �i <br /> 'I� I �$ � ' � �,+"?^/Y� Complaint No. <br /> UTILITY WORK ORDER �,,.[� '� ,,,,c�+�'I <br /> 1'� <br /> Date: 4 z1- `�}' �y WATER �.H' SERVICE ❑ MA�NTEN�NCE <br /> ❑ SEWER �❑ MAIN O OPERATION <br /> ❑ ST7RM ❑ PUMP STATION � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCii <br /> Location: f O I � SE EVE`.f'ETJ""��7A�-�— i/ <br /> W.O. Instruciions: �j�� �.�/Q6��� — <br /> ESTIMATED ACl'UAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : [quipment (cost) : _ <br /> SCHEDULING REQUESTED <br /> ' 1 <br /> USE CHARGE ACCOUNT NUMBER BELO FOR LABOR TIME SLIeS. I�EM`E <br /> LABOR, EQUIPMENT, AND MATE�L N REVERSE SIDE. ��„_•,�\L: <br /> Cempletion (Date): � Cost:S — <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Z�P� <br /> Invoice No.: Amount:S Date: — <br /> ves <br />