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CITY OF EVERETT 7�Q 8 <br /> DEPARTMF.NT OF PUBLIC WORKS <br /> li71lITIES DIVISION �� <br /> �O�E ��. N o. <br /> � �� � U <br /> ,r < <. L �� � Acct. No. 1.7 S � � �I <br /> /�� `��j �;: <br /> UTIUTY WORK ORDER � �' �/ Complaint No. <br /> /j,�V <br /> Date: 2 7 �f 5-� � WATER �Y SERV�CE ❑ MAINTENANCE <br /> O SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ,�' REPAIR <br /> O TREATMENT ❑ CONSTRUCTlON <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: �2 ��id��17�1� Ff✓ <br /> W.O. Instructions:���j�/� _ <br /> ESTIMATED ACTUAL <br /> Labor(hours) _ Lah,.r(ho�rs) . <br /> Material (cost) . _ Material (cost� . <br /> Equipment (cost) ; Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLI ITE IZ <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � __��; <br /> Completion (Date�: �r CCst$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: _Zip; <br /> Invoice No.: Amount:$ Date: <br /> ves <br />