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i <br /> , <br /> �y , <br /> � :l1. ,�.� L.� f..�.,. (� ' � a . . . `�/ ��"'u��Cjyl�t'a 4YnY�K'. <br /> a ��ti��'�f0 l��P`.Tt;`� fiT1�4�3�t ��,/� �F . � 1 � � ' �?- , �. x � . . . � . <br /> f ,, ,. t� . � CIIYOF,'EVERETT.� , � �" . <br /> ���: , � • . <br /> � ..,�;; �,` �"``�r = '�"x�` _ _ 'DEPARTMENT OF P_UBLIC.WORKS. _ �; '��! 8 6�� <br /> � �ur� �; f iL. { � ' ' _ .:� , ._; r.•� .,. � . . -- � t� <br /> � . ., a .r. .Yl � ': <br /> , . „ ,,��,� �+�, `., UTiUTIESDIVISION ;; : <br /> ; ,'^sr s , "_"' ' ' _ . W O. No. <br /> - ° 'as�4� ; . , , ` � . _ . � <br /> a �� � _ � T / 7-2 9. S : A��c r,o �� r l� �`/. <br /> -� . � . � v_.�_ .. .: . � . . . .. ., ., . . <br /> UTILITY WORK ORDER . . Coi�iplaint No -' <br /> Date �$' � �' � � WATER �R' SERVICE l � MAINTENANCE . . ; '� <br /> ❑ SEWER O MAIN:.`�� = OPE�iATION <br /> � ❑ STORM ❑ PUMP STATION ❑ REPAIR . <br /> � . ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE '� �s�� � �� <br /> ❑ MAN HOLE �mMs " <br /> 1 — 4'9p <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> �ocatian: I SO � p//1�- �-- <br /> W.O. Instructions: C I�Y �1/f�6�S��Y� y�,� F, A,�t�� �T �,� �ya�{� <br /> � <br /> ' / • � ��� i <br /> // <br /> ._.. - �-._. _, <br /> ; i <br /> � i <br /> ESTIMATED • ACTUAL <br /> Labor(hours) . � � ' � Labor(hours) . <br /> Material(cost) . I Material (cost) . <br /> Equipment(cost) : � Equipment (cost) : <br /> i <br /> SCHEDULING REQUESTED � <br /> � USE CHARGE ACCOUNT NUMBER BELOW FOE? LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. . - <br /> � <br /> Completion (Date): �—�8� Cost:$ <br /> Charge Account Number. Cha�ge Cost To(Name): <br /> , Address ' . ; Zip^ <br /> � ;t <br /> , �� �Invoice No �` `y � � Amount.$ � Date _ � <br /> � �..�, � :e� . . <br /> 5/PS ` �.� . .' i',� .1:! ' .. . . . . , " . .. . • .. � . • _ _. . ' . . . � . . <br />