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'��.Jo - . . �...,� <br />�.. <br />, �' ' <br />,_ ._._: <br />� <br />UTILITY WORK ORDER <br />� <br />"i.� <br />♦ <br />'' CITY OF EVERETT / <br />DEPARTMENTOFPUBLICWORKS~��'�Eb` �ui°"�IV° 4635 <br />•• L 3ro-: ;� :/ <br />UTILITIES DIVISION <br />W.O. No. <br />.. � a.rr../.. . . �. � . � <br />Acct No. �� � — � 6� <br />Complaint No. <br />Date: � � � WATER ❑ SEFVICE ❑ MAINTENANCE <br />1 O SEWER �MAIN O OPERATION <br />O STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT �CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �Oa17 fY�«kl1��p� � <br />W.O. Inatructions: 6 ��/7�/� / �l%r� ,�}/ � <br />ESTIMATED <br />Labor (hours) . <br />Materisl (cost) . <br />Equipment (cost) : <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Compietion (Date): �' �7 —a � Cost:$ � <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ Date: <br />i +ies <br />� <br />