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- ^ '"EL, <br /> � �=s-_ �� �� <br /> CITY OF EVERETT i�,-: '. ,•�: �, _ , :-_>. ��?d <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> W.O. N o. — <br /> ,- ,� _%j" <br /> _ �� AccL No. � -; � 11 �-f <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �-22—X�� � V✓ATER � SERVICE � MAINTENANCE <br /> ❑ SEWER rJ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> � p ❑ MA� HOLE <br /> �a�3 �Git/.y�'�'J ��� ❑ CATCH BASIN <br /> ,i� . <br /> � UITCH <br /> Location: _�11_t�� �"' � s "'sn c K Sc ✓ <br /> W.U. Instrur,tions: � ��C —��T��' ��"F�� '+" aF/��+�u' �h'Fi��R' �� N <br /> ��T1� t ��'��'F-rL �/rilT� �}'X WiTN FFILt, 5'rG�� t r q <br /> ESTIMATED A::TUAL <br /> Labor(hours) . Labor(hours) . — <br /> Material (cost) . — Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULI�G REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELUW �OR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIHLS ON REVERSE SIDE. <br /> Completion (Date): Cost:S <br /> Charge Account Number. Charge Cost To(Name): h'��3« i'�L�I11,(�O S � <br /> Address: �' �'r�i nc'vun � F i't r?L7T �i N N ZiU; �+�'�u� <br /> Invoice No.: Amount:5 Date: — <br /> ,ies <br />