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., .. . -�.�. ... <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION. � <br />i��' <br />,/L/v,� <br />�„io <br />� UTILITY WORK ORDER <br />Date: �a S ❑ WqTER O SERVICF ❑ MAINTENANCE <br />❑ SEWER O MAIN ❑ OPERATION <br />�'STORM ❑ PUMP STATION 'BCREPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />� CATCH BASIN <br />C� DITCy <br />Location: — �J �8— �L /��f /�- ` ,�J �, (/% <br />W.O. Instructions: _ �/1��7'—.4G� ���ii�%GT Ljf% ' <br />.,, . .. <br />;•: a97� <br />�N.O. No. <br />Acct. No. (O %� /� �— <br />Complaint No. <br />ESTIMATED <br />Labor (hours) . <br />Meterial{cost) . <br />Equipment (cost) : <br />1EDULING,REQUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) . . <br />Equipment (cost) <br />� <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />•LABOR, EQUIPMENT, AND MATERIALS ON FEVERSE SIDE. <br />;:. <br />. . .:';;: . . , <br />. :`:�':; - <br />�:Aiidress <br />Invoice N <br />�n �veie�: COSt:$ <br />:i.�:�.;:.�. . . � <br />�ccount Number. Charge Cost To (Name): <br />e: <br />