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vas <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�i 1�1-29-5 <br />s � p (�os�-� <br />':''. �035 <br />n • . <br />aoc�. rio. � � s ' � � <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: �' `'" ��� 1� WATER � SERVICE lG✓ MAINTENANCE <br />❑ �EWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMEN? ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: %�n� 'i���1�✓� Y�E►��� — — <br />W.O. Instructions: ��0�/f' � �1Qf`lG'�- __ <br />ESTIMATED <br />Labor (hours) <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) : <br />SCHEDULING REQUESTED __ _ <br />USE CHARGE i\CCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIGE. <br />Completion (Date): �'�s� %r CostS _ <br />Charge A�;count Number: <br />Address: <br />Invoice No.:_— __. _ <br />0 <br />Charge Cost To (Name�: <br />---. ------AmounLS— <br />i p: <br />Date: -- <br />i <br />