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� � CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS ��= 6 3� : <br /> UTILITIES DIVISION . <br /> J ^ `1 _ s W.O. N o. — <br /> ' � O-= <br /> x �G-'.'?—� ��voo Ns�rr) Acct No. l� 7 '��I � �/ <br /> CG �� �� - ���� Complaint No. <br /> UTILITY WORK ORDER ��o '`�+`''�= � <br /> � Date: ��' Z �' f�%,��NATER �SERVICE �MAINTENANCE <br /> '� ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ; ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> �j// /���j�_ . ,', J�'�, a ❑ MANHOL'c <br /> f� �«��N� wr�� ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: I IC. 6lii'T'�" - �'�'��Il)1� �1•/ -i � l;'i ��� i G� �- _ <br /> : <br /> W.O. Instructions: � L d- '��0�1�5 .�OvTfd � I�DE D� <br /> �E �u�t�T � -- <br /> � /�� a, <br /> J <br /> � <br /> 1 <br /> � <br /> k <br /> � <br /> � <br /> ESTIMATED ?�TUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . _ Material (cost) . <br /> Equipment (cost) : _ Equipment (cost) : <br /> SCHEDULI�SG REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR I.ABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ Cost:S ` ' ' ' <br /> Charge Account Number. Charge Cosi To(Name): <br /> + :,: ` , :' . <br /> Address Zip: ` <br /> Invoice No.:— Amount:S Date: _ <br />