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. . . � .. , , , <br /> ,,� ., <br /> � CITY OF EVERETT ►.�� 4434 <br /> DEPARTMENT O� PUBLIC �NORKS ��, , ,, �zz <br /> UTILITiES DI`d1S1UN yy,0. No. <br /> AcctNo. Je73 - 11 <l <br /> Compizint No. <br /> UTILITY WORK ORDER <br /> oate: � �" 7- S 6 . }�f WpTER ❑ SERVICE ,f�l MAINTENANCE <br /> ❑ SEWER ,� MAIN ❑ OPERATION <br /> r ❑ STORM O PUMP STATION ❑ '�EPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> E ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> � <br /> ❑ .^,ATCH BASIN <br /> ' ❑ DITCH <br /> ` �ocation: 2Z � 7 L �l Kf �iC !l_t1�'S — <br /> W.O. Instructions: �< < �� � y '�'�� y � � , , l"��� — <br /> l _ <br /> � - <br /> f <br /> ESTIMATED ACTUAL <br /> Labor(hours) . L.3bor(hours) . — <br /> Material(cost) . Material (cost) . <br /> Equipment (ccst) : Equipment (cost) : <br /> SCHEDULING REQUESTFD <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TiME SLIPS. ITEMIZE <br /> LA80R, EQUIPh4ENT, AND MATERIALS ON REVERSE SIDE. ;� .F��` ;_� . <br /> ComPletion (Date): I�{-��'� � "' , ', `. �Costi� -" ` ' -., , <br /> Charge Account Number.�—Charge Cost To(Name): <br /> Zip:_ <br /> Address: <br /> Invoice No.: <br /> Amount:$ Date: <br /> ,ias <br />