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i,_i-C I <br /> CITY OF EVERETT =� �c,T ," � •= '`=-''�,]5'� .�j <br /> DEPARTMENT OF PU9LIC WORKS <br /> UTILITiES DIVISION W p. No. <br /> ! Acct No. �-- � S � ��'� <br /> `, ;`S� ' <br /> ` ' ' � Complaint No. <br /> , . <br /> UTILITY WORK ORDER <br /> Date: .b�=—�=�Ci— �� WATER �� SERVICE tH� MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOIE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �Cl2�� ��- FI-�L�C'SC',� 19�� - <br /> W.O. Instructions: n����'✓N ��"0 ���lG� <br /> ESTIMA7ED ACTUAL <br /> Labor(hours) . Labor(hcurs) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM SL1PS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE.���., �� �:,�; <br /> Completion (Date): ft. �y� ,Y Cost:$ <br /> Charge Account Number: Charge Cos! To (Name): <br /> ZiA: <br /> Address: <br /> Invoice No.: <br /> Amount:S Date: <br /> iies <br />