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.. <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISi�N i <br />�bq ' <br />. y � r\ � <br />UTILITY WORK ORDER `/�, � <br />N: 1911 <br />T 3 0- z9- s <br />W.O. Na <br />Acct No. <br />Complaint No. <br />Date: '� � WATER C3� SERVICF ❑ MAINTENANCE <br />❑ SEWER ❑ MAIN O OPERATION <br />❑ STOFtM ❑ PUMPSTATION �YREPAIR <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: <br />W.O. Instructio�s: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />O �}961t s' <br />',�,Di� � 1� i t l�'1 e�P <br />SCHEDULING REQUESTED <br />ACTUAL <br />i. �``f <br />❑ CONSTRUCTION <br />Labor (hours) . <br />Material (cost) • <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ��_��,�Y- <br />Completion (Date): 7—Z3 ��7 Cost:$ <br />Charge Account Number: <br />Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />Amount:$ _Date: <br />