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s <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�J���'�°'/e� / <br />('� <br />i\� 47�$ � <br />. �/ 5-Z S- :� I <br />W.O. No. ' <br />Acct No. L� T� � � �� � <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: �{" � 5 �7 � WATER � SERVICE $' MAINTENANCE <br />❑ SEWER � MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />O DITCH <br />a�s- �IA`� Hv,�sr A� _. <br />Location: <br />W.O. Instructions: C I li� ! l C Sr ��i �ci !,�' �� ) r�t � 7� :' � T7%' -� x� r..sr`-Y <br />�('� ���, r(1 l�tao re <br />�SJL—�c 'J�! M[" <br />0+'' <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost� : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW F.QR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AN MA ERIALS ON REVERSE SIDE. ��,� _ v\;, <br />Completion (Date�: Cost:$ <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice N <br />� ias <br />nt:$ —Date: — <br />c <br />