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,. .. .. ... . , _ _. <br /> " CITY OF EVERETT ' <br /> M1 � •`• 5 DEPARTMENT OF PUBLIC WORKS 1`::' S�J 3Q, .: <br /> UTILITIES DIVISION � <br /> . , . : W.O. No. <br /> �y 7F'���yI Acct No. I.7 'S': �� 9 <br /> . . � / ' �C /y r/ ' ��� .. � ' �. . <br /> UTILITY WORK ORDER � Complaint No. <br /> Date: L`��" ��� � WATER .�J SERVICE � MAINTENANCE <br /> O SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HO�E <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: � �rrn�� �7✓� <br /> W.O. Instructions: �/�� �i�'' �R1 <br /> � � <br /> h <br /> _ �r .� �� , <br /> ESTIMATED ACTUAL <br /> ' Labor hours . <br /> ( ) Labor(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 /> L.4BOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> : Completion (Date): �Z�y Cost:$ � <br /> •.,Charge Account Number Charge Cost To(Name): � <br /> S' `p;. . . <br /> ,. : . <br /> `_ Addreas . • . ',: ..': <br /> _ Zip•- <br /> Invoice No.: Amount:S Date: _ <br />