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CITY OF EVERETT <br /> � `*`��� DEPARTMENT OF PUBLIC WORKS -• �� �� <br /> UTILITIES DIVISION <br /> W.O. No. <br /> C, 20 - 2.� -J"r Acct. No. G 7J�/�y <br /> �/� Po s r�N G Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 1� ��NATER O' SERVICE ❑ MAINTENANCE <br /> ❑ SEWtR ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION C�REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �� � � �'�/ �� <br /> �'�,L ' �{ T c� .�,�h �T� � <br /> W.O. Instructions: � �dJ-�—� �' �u�� �— <br /> � <br /> -�� �� ������ <br /> ESTIMATED ACTUAL .1� <br /> Labor(hours) Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SGHEDULING REQUESTED <br /> USE CHARGE ACCCUNT NUMBER BEIOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ���G�'��� Cost� <br /> Charge Pccount Number: _Charge Cost To(Name): <br /> Address — —Z�p� <br /> Invoice No.:-- <br /> AmounL•S_— —_Date: <br /> es. I <br />