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' .' ' �a•r • .. � ..... . , . . . . .. . . <br /> CITY OF EVERETT � <br /> DEPARTMENT OF PUBLIC WORK8 i .– r O O[i <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Acct No. � � S �� 9 ` <br /> . f <br /> UTILITY WORK ORDER Complaint No. � <br /> �-I�- � / t <br /> Date: � N WATER ;�O SERVICE � MAINTENANCE <br /> � SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> . <br /> ❑ RESERVOIR <br /> O VALVE <br /> �_S�.`> �;%/�fif/�-�1i !.1/7�/ � MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> �ocat�on: �S 11 /351 S /yj� L✓11/ <br /> W.O. !natnictions: ��f��l�/�L j'l tJ ST��- ih �•O 1TJ X C j lI,-i'r // <br /> co,lrc�l�� ��iTr�' !3o x E s �,Cl� r�� s�if;v k���n 1 <br /> � � ✓ <br /> � /✓o i:i%!/Y75 �=-n �1� � <br /> � <br /> ESTIMATED ACTUAL S • <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (aost) . <br /> Equipment(cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED � <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE � <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. � <br /> Comp�etion ��ate1: / Z- - � 3 ��� Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Zip: <br /> Invoice No.: Amount:S Date: <br />