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CITY OF EVERETT �,�p ��T�NGJ v , �9$2 <br /> � r. -� <br /> • .�+ � \'1. DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> . W.O. No. <br /> Acct. No.l ' ' ' % � � <br /> � <br /> C�x�\, ,���dk • \ <br /> Complaint.No. <br /> UTILITY WORK ORD�R <br /> Date:,,�L.l� A �NATER ;O SERVICE .� MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VF.LVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: .���7 �Q�����-� �i�`J <br /> W.O. Instructions: �4��'���+����� <br /> . � . \ . .-,�, .�.,� ....� <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUEST[D - � - � <br /> USE CHARGE PCCOUNT NUMBER BELOW FOR LABOR.TIME SLIPS ITEMIZE ` <br /> LABOR, EQUIP�v1EN1', AND MATERIAIS ON REVERSEy�.LQE�;, �,.j �yy�,.��;�� <br /> •;. <br /> Completion (Date): Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> Invoice No.: Amount:S Date: <br /> • -es <br />