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" CITY OF EVERETT . '. ' " � `
<br /> ' DEPARTMENT OF PU'8lIC WORKS i ;_ Q $U�
<br /> - UTILITIES DIVISION
<br /> (� �3- �a_ � , ... .. - : . � � • �'J.O. No.
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<br /> _ _ _ �z- �z-8� Acct No. L� c' I 1 f
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<br /> Complaint No. �
<br /> UTIUTY WORK ORDER
<br /> Date: �" � S 4��� ,� WATER � SEPVICE � MAINTENANCE
<br /> ❑ SEWER O MAIN ❑ OPERATION
<br /> O STORb1 ❑ PUMP STATION ❑ REPAIR
<br /> ❑ TREATMENT ❑ CONSTRUCTION
<br /> L] RESERVOIR
<br /> ❑ VALVE
<br /> ❑ MAN HOLE
<br /> ❑ CATCH BASIN (ATL ��q3
<br /> ���' ❑ DITCH KI LLE P
<br /> Location: 1f�1 � 1 ,f-I�L1 ,✓ �fr 9" �g `k4 �
<br /> W.O. Instructions: k� 1 � f!)�/� ! la' � 3liTI�� �Y
<br /> ESTIMATED ACTUAL �
<br /> Labor(hours) . Labor(hours) .
<br /> Material (cost) . Material (cost) .
<br /> [quipment (cost) : _ Equipment (cost) :
<br /> J
<br /> SCHEDULING REQUESTED
<br /> USE CHARGE ACCOUNT NIiMBER BELOW FOR LABOR TIPAE SLIPS. ITEMIZE
<br /> �ABOR, EQUIPMENT, AND MATERIALS ON REVEP,SE SIDE.
<br /> Completion (Date): ����y Cost:$
<br /> Charge Account Number: _Charge Cost To(Name):
<br /> Address: Z�P�.
<br /> Invoice No.: Amount:� Date:
<br /> �85
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