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CITY OF EVERETT ' ' � 7�J Q 3 <br /> , �'. <br /> • .� - DEPARTMENT OF PUBUC WORKS <br /> UTILITIES flIV�SION <br /> r/39��_�-t�'� — � :o't-�rmv+s ReqW.O. No. <br /> Acct No. .�� � �� � <br /> � ,�.r_,. L .;� �:. <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �� � N�ATER � SERVICE ❑ MAINTENANCE <br /> � ❑ SEWER ❑ MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION Lj� REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> 7 VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> p DITCH <br /> Location: __�� � �����0 �v� <br /> `N.o. lnstructions: �_�� ��--���'��+��`'� <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . - <br /> Material (cost) . Material (cost) . — <br /> Equipment (cost) : _ Equipment (cost) : <br /> SCHEDJLING REQUESTED <br /> USF CHARGE ACCOUNT NUMdER BELOW FOR LABOR TIME S PS. �I�ZE <br /> LABOR, EQUIPMENT, ND MATERIALS ON REVERSE SIDE. �.,� ��.,�� <br /> Completion (Date): ��t� Cost:� <br /> Charge Account Number: Charge Cost To (Name): — <br /> Address ��p' <br /> Amount:$ Date: <br /> Invoice No.:_ -- — <br /> ves <br />