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i <br /> • , �-- �7_2�-5 <br /> � �' CITY OF EVERETT I�sTED <br /> DEPARTMENT OF PUBLIC WORKS TuMMS ��, :_. �i O � :' <br /> ;: - <br /> UTILITIES DIVISION <br /> W.O. No. <br /> ' Acct No. L � T � � �� <br /> UTILITY WORK ORDER Complaint No. <br /> Date: �— b� � �NATER ,� SERVICE �` MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> �� TREATMENT ❑ CONSTRUCTION <br /> G RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��+`�'6 �/�/E S f <br /> W.O. Instructions: GH�� ��y���� �C���F/� <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labur(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSF SIDE. <br /> Completion (Date): ���T�h` Cost:$ <br /> / ., <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Zip; <br /> Invoice No.: Amount:$— Date: <br />