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CITY OF EVERETT •NF.Tzi1 <br /> � . DEPARTMENT OF PUBLIC WORKS � .' �O � II � 1 <br /> ' Po ED -189 � <br /> UTILITIES DIVISION � TuMMS ��B9 <br /> W.O. tJo. <br /> ` Acct No. G'�� �� � I <br /> � <br /> Complaint No. � <br /> U�II,ITY WORK ORQER i <br /> Date: � � 'Z� ��;� � WATER !fS SERVICE � MAINTENANCE I <br /> ❑ SEWER ❑ MAIN , ❑ OPERATION � <br /> ❑ STORM ❑ PUMP STATION ❑ REPA!9 <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ��0����1f7 i' ��/ O MAN HOLE <br /> � ❑ CATCH BASIN <br /> ❑ DI"iCH <br /> Location: ��o( 1��05 /�,Zo�J / � zl S 3uY� ����(' <br /> W.O. Instructions: �/�1��6'S ��1 SGrYl�lcy'. I��o'h 2 �� Gy T"�: (� .�t)Si7�_ftl O <br /> �� 3�� ° `" ��,��9 <br /> �i�{� d��' �h 3 S <br /> cr�� l a � , <br /> _�-�����" �9 <br /> ESTIMP.TED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cosq . <br /> EquipmeM (cost) : �_ — Equipment (cost) : <br /> SChIEDULING REQUESTED � <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Oate): _ -�'– � ��g� � Cost$ <br /> Charge Account N��mber. Charge Cost To(Name): <br /> • �. <br /> � <br /> AliUirSS: `L�ip:. — <br /> 0 <br /> Invoice No.: Amount:$ Date: <br /> K <br /> ias <br />