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CITY OF EVERETT , � ]]5 6 <br /> DEPAR–"�NT OF PUBLIC WORKS <br /> - UTIUTI�S DIVISION W.p, No. <br /> � �.�„ �:;::-=L_,, ,;;��,�:� F=-�,.- is- 1 �f <br /> � ' ," Acct No. 1 � — <br /> � Complaint No. _-- <br /> UTILITY WORK ORDER <br /> Date: ��-� WATER � SERVICE ,� MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR ` o_ i�� � 2�� <br /> ❑ TREATMENT o ca��SfiRJc4�br, <br /> ❑ RESERVOIR k�MG ��,1 t �� O�t�r <br /> i <br /> ❑ VALVE <br /> - ❑ MAN HOLE <br /> ❑ CATCH BASW <br /> i ❑ DITCH <br /> i �� <br /> � Location: —� RENEW <br /> ' EcJ �� -z�-88 <br /> W.O. Instruction�s�. '` � /y 6 — <br /> � -- 'J <br /> _ 8".l��' _ _ . <br /> � ���, � z� cf6 �6'� �a.o- <br /> � s s- ' <br /> �/ / u �lr <br /> �"/ �"� �� a 1 6 <br /> ESTIMATED ACTUAL <br /> Labor{hours) • <br /> Labor(hours) . <br /> Material(cost) : �— Maierial (cost) . <br /> Equipment (cost) : — <br /> Equipment (cost) : - <br /> SCHEDULING RE�UESTED � �� <br /> USE CHARG[ ACCOUNT NUMBER BELOW FGR LABOR TIME S�IPS�\TE IZE <br /> LABOR, EQUIPMENT, AND MATtRIALS ON REVERSE SIDE. ��.,�� <br /> Completion (Date): <�X Cost:� <br /> Charge Account Number:�--Charge Cost To(Name): <br /> Zip: <br /> Address: <br /> invoice No.: <br /> Amount:� Date: <br /> ' t/BS <br />