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m <br />. CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�'' 9159 <br />W.O. No. <br />Acct. No. (,7 ti 1) �� <br />UTILITY WORK ORDER Complaint No. _ <br />Date: �' Z� ��'� � WATER ,� SERVICE O MAINTENANCE <br />❑ SEWER O MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION � REPAIR <br />❑ TREATMENT L CONSTRUCTION <br />❑ RESERVOIR <br />� VALVE <br />O MAN HOLE <br />O CATCH BASIN � <br />f 9ZL ❑ DITCH � �G1(�� � <br />Location: ���-2 lG. //i�A'I!'� YIl�: �a� 1� _ <br />W.O.Instructions: ti'i./'N� d i'i���»5-i)c S',jrl,c.� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL �% �f% <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REOUESTED <br />USE GHARGE ACCOUNT NUMBER EELOW FOR LABOR TIME SLIPS. ITEMIZE <br />f_ABOR, EQUIPMENT, AtJD MATERIALS ON REVERSE SIDE. <br />Completion (Date): — 2" Z �'— 9� Cosh <br />Cliarge Account Number: <br />Address: <br />If1VO1C@ <br />•�s <br />Charge Cost To (Name): <br />Amou <br />� <br />� �t1`�l <br />: i ,, <br />A' <br />