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' � � . • . � . . � . � �� . � ` <br /> CITY OF EVERETT <br /> . � DEPARTMENTOF PUBLIC WORKS :�•<° �043 <br /> UTILITIES DIVISION <br /> W.O. N o. <br /> ii � � J � � <br /> _ — ' Acct. No. G ) � � � y <br /> i?� 1�� Pos-,'11.1G <br /> UTIL.ITY WORK ORDER Complaint No. <br /> Date: ����� y� � WATER �SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��pt'� �� <br /> W.O. Instructions: <br /> �771�fi-1 bs��� �_�•-� ���/i/PL� . I <br /> — i <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Materiai (cost) Material (cost) . <br /> Equipment (cost) : Equipment (costl : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. I <br /> Completion (Date): l '� �—9�_Cost:� I <br /> Charge Account Number. Charge Cost To (Name):_ <br /> Address: Zip: ,� <br /> i <br /> Invoice No.: Amount:� Date: <br /> �ias <br />