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1 <br /> I <br /> � <br /> . . CITY OF EVERETT <br /> " DEPARTMENT OF PUBLIC WORKS �`�°' 9 � 65 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Acct No. �� 5 �� y <br /> Complaint No. <br /> UTILITY WORK URDER <br /> , Date: �"��'� qJ � WATER 'f� SERVICE O MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> � ❑ STORM ❑ PUMP STATION 1� REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> � � RESERVOIR � <br /> � ❑ VALVE �� <br /> � O MAN HOLE �� <br /> � ❑ CATCH BASIN � <br /> � ❑ DITCH <br /> �ocation: I� �9 il�i�t�'7"�— tI VE- - <br /> � W.O. Instructions: �1��' 't' ��'� S��/�� <br /> 4 <br /> �y <br /> ! <br /> t <br /> i <br /> r <br /> i <br /> 1 <br /> � <br /> � <br /> I <br /> V � <br /> i � <br /> ` <br /> � <br /> � <br /> I <br /> i <br /> ! ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material(cosq . Material (cosq . <br /> Equipment(cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> � USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion(Date): 2��'� Cost:$ i <br /> i <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: Z�p� <br /> a• <br /> Invoice No.: Amount:$ Date: <br /> iias <br /> �, <br />