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1 , . . . ... . _. . - . .. .. . ' ' _ _ ' �. " <br /> CITY OF EVERETT ��/ (� I �d� �1 <br /> ��.. <br /> DEPARTMENT OF PUBLIC WORKS ,. �' <br /> tA •G�n� �w, <br /> UTIIITIES DIVISION� �' �f� / <br /> W.O. No. <br /> � � <br /> Jl(� ' Z Acct No. '- - ' ' � 1 <br /> Complai�t No. <br /> UTILITY WORK ORDER <br /> Date: �J� E5 WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ �IAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION �,� REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ OITCH <br /> Location: �73�� (� t�1��iS �1�� — <br /> W.O. Ir�tructions: ��r�r� �u/�'����✓�e'(i <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost► . Material (cost) . <br /> Equipment (cost) : Equipment(cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBEF BELOW FOR LABOR TIME IPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. �._�,����. <br /> Completion (Date): �m�- N9� Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�P� <br /> Invoice No.: Amount:5 Date: <br />