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•� CiT1f OF EVERETT �=�9_ `-`�`"Tc �] B U 4 <br />� u�.ms A�-c:=Atv r_o�� <br />DEPARTMENT OF PUBLIC WORKS � �-�_��_ � <br />UTILITIES DIVISION � � VL� <br />W.O. No. <br />Acct No. !07 ��9 <br />UTILITY WOPiC ORDER <br />Date: ' � � ' LT WATER <br />O SEWER <br />❑ STORM <br />•�9��0��� <br />.` <br />� Location: <br />0 <br />DC <br />❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />� <br />Complaint Na <br />O MAINTENANCE <br />❑ OPERATION <br />O REPAIR <br />❑ CONSTRUCTION <br />l <br />. <br />r . � , r— ` '- --' � � �/ _ � <br />: s. <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />0 <br />ACTUAL <br />Labor (hours) <br />Material (cosi) <br />Equipment (cost) <br />SCHEDULING REDUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LA80R TIME SLIPS. ITEMIZE <br />LABOR. E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): J � �S �� Cost:S <br />Charge Accou�t Number. <br />Address: <br />Invoice <br />Charge Cost To (Name): ' <br />nt:S <br />