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• -.. ,,. <br />���3 <br />UTILITY WORK ORDER <br />�% <br />e <br />CITY OF EVERETT <br />DEPART�VIENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� �L�/ <br />(/ ��C <br />l./ <br />i:_ 89 �� <br />W.O. No. -- <br />Acct No. C" �S / � _ <br />Complaint No. <br />Qate: �v� ��S � WATER O SERV6:E ❑ MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION O REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� UITCH <br />Location: �OZ/ �ou�e,� ��SP ,�CO� � _. <br />W.O. instructions: _f ti���> �� S`' `JT `� r� -C �/�` U u� <br />. _ .�. <„; �-, <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />RCTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE ' <br />LABOFi, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �_ � �;,� �... <br />Completion (Date): Cost:$ <br />Charge Account Number. Charge Cost To (Vame): <br />Address: <br />Invoice No.: Amount:� <br />5 <br />