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` CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS !<_ B 3 S7 <br /> UTILITIES DIVISION <br /> J _ � W.O. N o. <br /> �� G. O- - � � � p <br /> �/ ?L�-'.' f—� (2yoo {�srTj ACCt. NO. �i 7 ��1 � / <br /> � <br /> �S� �� - ��� Complaint No. <br /> UTILITY WORK ORDER N� ��'�'�= <br /> Dete: _�I• 2 �' f'%, 7�WATER �" SERVICE �MAINTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> � �jlp�/k{�j,_„� �,p ' � MAN HOIE <br /> a rcif� �.c-�— <br /> ❑ CATCH BASIN <br /> i ❑ DITCH <br /> Location: 1 � C �ti�'l-i" - `�'�7� Uii ��.� -t � Li i�� i G� 1i <br /> W.O. Instructions: �1 � d- ���r�S .fovTM � tflE D6 <br /> �'E c�lir�T` . <br /> � /�� a. <br /> J <br /> I <br /> . <br /> I <br /> I <br /> I <br /> �I <br /> ESTIMATED ?�TUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING HEQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. _ <br /> Completion (Date): Cost:S <br /> t <br /> Charge Account Number. Charge Cost To (Name): <br /> Address: Z�P� <br /> Invoice No.: _ Amount:5 Date: <br />