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- � CITY OF EVERETT � �:� � � s$ <br /> DEPAFiTMFNT OF PUBLIC WORKS `Z���z �./ <br /> "Z� ✓ / <br /> UTILITIES DIVISION � <br /> W.O. No. <br /> Acct No. �� 7�` � I � <br /> Complaint No. _ <br /> UTILITY WORK ORDER <br /> Date: 1 7- j� f� WATER �SERVICE � ❑ MAINTENANCE <br /> ❑ SEWER MAIN ❑ OPEF�ATION <br /> ❑ STORM O PUMP STATION � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: 2 � 2 L .���L'�—'}�-+�� — <br /> W.O. Ins2ructions: f?�� �� �G � 1��'oKf-� r ,�r?+3 S"r�'i� _ <br /> � <br /> � �. <br /> ESTIMATED ACTUAL �.S <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . _ Material (cost) . <br /> Equipment (cost) : F_quipment (cost) : <br /> SC'rIEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME St�'S. ITEMIZE <br /> LABOR, EQUIPMENI', AND MA"fERIALS ON REVERSE SIDE. -..Z;�.,�.� ���. <br /> Completion (Date): �v y(�'�� Cost:$— <br /> Charge Account Number._ Charge Cost To(Name): <br /> Address: <br /> Zip:_ <br /> In��oice No.: <br /> Amount:$ Date: <br /> i <br /> ves <br />