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., . • M� <br /> CITY OF EVERETT <br /> � ~ DEPARTMENTAF PU9LIC WORKS Nc ���8 <br /> UTILITIES DIVISION �� •'Z� �`''z � �� <br /> ( �.�A , ; <br /> W.O. No. <br /> � '�1��f�:'�27 � , � AcctNo. �� � II�J <br /> �� � Complaint No. <br /> � UTILITY WORK ORDER � ` <br /> I Date: �b� �G3' WATER � SERVICE ❑ MAINTENANCE <br /> ' � SEWER ❑ MAIN O OPERATION <br /> � ❑ STORM ❑ PUMP STATION � REPAIR <br /> I ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> �Z�� f� G�IE�' ND/��ITCH <br /> �ocat�oci: _�.�2� F�1 ST � .PN'�D — <br /> W.O. Instructions: �C/�a� � P �4 �i r�'� �'r,,p/ i�� <br /> � <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . — Material (cost) . i <br /> Equipme�t (cost) : Equipment (cost) : <br /> SCHEDULING REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date1: Cost:S <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p' — <br /> Invoice No.: _Amount:$ Date: <br /> iies <br />