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- CITY OF EVERETT <br /> S ��� DEPARTMENT OF PUBUC WORKS ��`•' � � � �� <br /> UTILITIES DIVISION . <br /> W.O. No. <br /> ,! . <br /> ;������ A���. No. �6�/ —i�9 <br /> ;,�.: , ,J <br /> � Complaint No. — <br /> UTILITY WORK ORDER <br /> Date: � � WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN� � OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAWE ' <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �� �"�-�/1—'� ��' <br /> W.O. Instructions: �m C/�9 P��n '/ S��r�- o�� <br /> Tm � �UirNPK � �Sq — 7/'O <br /> �v/ �7- �v� �'�i u r- o.{�- �cAc��s�c�. ��ce <br /> %� /{/� ��P9P Te CF1��A�lC1K , �i i�', /7�oa,�P � S <br /> C/0i�'7c, 0 4/�P �axP U-� 1T��S /m4TTYr'X. <br /> , �— <br /> - -- � — - —"— <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equiprr,�nt (cost) : Equipment (cost) : <br /> SCHEDULING REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR T1ME SLIPS. ITEMIZE <br /> LA80R, EQUIPMENT, AND MATERIAIS ON REVERSE SIDE. �a;':;� �.:,,�,� , <br /> Completion (Date): Cost:� <br /> Charge Account Number. Charge Cost To (Namei:— <br /> Address: Z�p� <br /> Invoice No.: _� Amount:5 Date: <br />