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i <br /> 1 <br /> � ' CITY OF EVERETT �299 <br /> DEPARTMENT OF PUBLIC WORKS <br /> , � <br /> UTILITIES DIVISIO�� �— �,: j "o� n -- <br /> v� W.O. No. <br /> ^,u'�'v1M1 „q � Acct No. lo7S- 119 <br /> '�' „Jf9' ��� �'� <br /> ��^ Complaint No. <br /> UTILIn WORK ORDER <br /> Date: J1—�'Y�7_ � WATER �d' SERVICE L]' MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION <br /> ❑ £,TORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAI.VE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN � <br /> ❑ DITCH <br /> Location: __��3 �!Gu 1�1 C- ��/� <br /> W.O. Instructions: ��A I�fn� c5'E.�1�/66 f�j,�r fLl4 jr � .��"r� <br /> ESTIMATED ACTUAL <br /> Labor(hours) . _ Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDUUNG REOUESTED <br /> USE CHARGE A:,COUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE� <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. , 1 � <br /> . ...� ..\ <br /> Completion (Date); �9 ��✓i� 1'�� Cost:S <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: _ Zip: <br /> Invoice No.: Amount:5 Date: _ <br /> ves <br />