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' CITY OF EVERETT <br /> . 78,"_ 3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> 'r��9 �n�TF_j� Y- TumrY15 W�• No. <br /> �� z ^y, z � � s Acct No. d�'�(�4— <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �`�— � WATER l.� SERVICE �' MAINTENANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��Q�' �E� VL I <br /> W.O. Instructions: �—���!'���`'��—.��1� <br /> ESTIMATEO ACTUAL I�f� <br /> Labor(hours) . Labor(hours) . <br /> Material (cost► . Material (cost► . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EOUIPMENT, AND MATERIALS OM REVERSE SIDE. <br /> Completion (Date�: ��13 � �v Cost:$ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: —Z'p� <br /> Invoice No.: Amount:� Date: <br /> ves <br />