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. . • ..... . , � � . . . . . :u:. . - .. .. _ .' � ':r h_i.i'a .., . � . <br /> CITY OF EVERETT <br /> : DEPARTMENT OF PUBLIC WORKS t.'" fi� �� <br /> ' UTILITIES DIVISIQN <br /> � W.O. No. <br /> � � <br /> � 3 I�Z� ' , Acct No. �� �r �'� <br /> �, Complaint No. <br /> UTILITY VIiORK ORDER <br /> Date: '��-� �� WATER �" SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION Pf REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR „ „ <br /> ❑ VALVE '�"�� <br /> � - ic-�c <br /> ❑ MAN HOLE _SL_ _ <br /> � ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: _T�������� �� <br /> W.O. Instructions: ���� ��� 3�' P�� 5% s��?�/��� <br /> � . <br /> ESTIMATED PCTUAL <br /> Labor(hours) . Labor(hours) . _ <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDUIING REQUESTED - <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> IABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. • <br /> Completion (Date): l�� y �� � Cost:$ <br /> Charge Account Number. Charge Cost To (Name): <br /> Address• • -Z�p� <br /> Invoice No.: AmounL•$ Date: — <br /> I <br />