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\' ��� CITY OF EVERETT 1 Q�1 a <br /> � DEPARTMENT OF PUBLIC WOFlKS <br /> � UTILITIES DIVISI�N <br /> W.O. No. <br /> �y N L <br /> � zo � , � AccL No. li �s- �i y <br /> UTILITY WORK ORDER Complaint No. <br /> Date: a-�y-8� �" WATER �SERVICE � MAINTENANCE <br /> G SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION �REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> � RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOI_� <br /> ❑ CATCH BASIN <br /> ❑ DITCN <br /> Location: � � 9 OV % <br /> W.O. Instructions: /S �11,c,l�/.�Il/S�ac/ L�U.Ph aST�.o <br /> ESTIM,ATED ACTUAL <br /> Lat�or(hours) . _ Labor(hours) . __ <br /> Material (cosq . _ Material (cost) . <br /> EquiFment (cost) : _ Equipment (cost) : <br /> SCHEDULIIJG REQUESTED __ <br /> USE CHAi4GE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LAEOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): Cost:S_ —� <br /> Charge Acco,�nt Number. Charge Cost To;Narcie): __ <br /> Address: _ _ _ZiP: <br /> Invoice No.: _ Amount:S__ —G�ate: <br /> 1/E5 <br /> � <br />