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�. r�liYu.�...�.q _ . . � . <br />..-),�:,.. <br />• . �.F' ;, ; _ <br />UTILITY WORK ORDER <br />����'y <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIE5 DIVISION <br />r <br />„ J,.:•r-�.a�� <br />� . <br />% <br />��: g534 <br />i.,_ <br />W.O.�No. " . <br />Acct No. 1'� 5� � �/ <br />Complaint No. <br />Date: � WATER � SERVICE ❑ MAINTENANCE <br />SEWER � MAIN � OPERATION <br />O STORM ❑ PUMP STATION �S REPAIR <br />. ❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: _��C.11���� �- it✓e <br />W.�J. Instructions: ��Ay� ���N�/1L►i�- <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment {costj : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �q��q Cost:$ <br />Cha�ge Account Number Charge Cost To (Name): <br />Address Zip: .' <br />Invoice No.: _Amount:� Uate: <br />