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:r . ., . ..�. <br /> CITY OF EVERETT ��_ q 4 5 3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION�� �� �� � � ` �� <br /> �_ W.O. N o. <br /> � <br /> Jr��� �/8� /',,�'� �� Acct No. L�7S � � �I <br /> � �� $C� <br /> � Complaint No. <br /> UTILITY WORK ORDER <br /> Date: I�-'q � b .� WATER � SERVIi:E fY MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> .��9� `�+�1���J71�l6.,._+/L(.(_.��y12— , <br /> W.O. Instructions: l ; � � ��G'% 5 ��'1'��G �h�H FLAT -►"� ME7T� <br /> � � . <br /> ESTIMATED ACTUAL <br /> Labor(hours) . _ Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : — <br /> SCHEGULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLiPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIQE. \ 1 �,,\ <br /> Completion (Date): 1/�1/O—g� Cost:S <br /> Charge Account Number. Charge Cost To (Name): <br /> Zip: <br /> Address: <br /> Invoice No.: <br /> Amount:S Date: <br /> i�es <br />