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� <br /> • CITY OF EVERETT s/a9 i�,s-raD �,� ��9� <br /> � DEPARTMENT OF PUBLIC WORKS °��MMS <br /> UTILITIES DIVISION �;, <br /> W.O. N o. �•' <br /> Acct No. ��7 � � � A <br /> UTILITY WORK ORDER Comp�aint No. <br /> Date: �'�� ,� EWER � MARNICE � OPERA IONCE <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> O RESERVOIR <br /> ❑ VALVE � <br /> ❑ MAN HOLE � <br /> O CATCH BASIN i <br /> ❑ DITCH <br /> Location: ._��jQ��{ /G ,1`!� I <br /> W.O. Instructions: __�5��� 3 Nl/y�� . <br /> . � <br /> , <br /> ESTIMATED ACTUAL /f7eS ` <br /> Labor(hours) Labor(hours) . <br /> Material (cost) . Material (cost) . _ <br /> Equipment (cost) : Equipment (cosq : _ - <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCQUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ����q Cost:S <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: ZiP; <br /> Invoice No.: Amount:S _p� <br />