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.: ; .: � • <br />., � <br />UTILITY WORK ORDER <br />� ' � .���1� .�I:.�_..;T . r ' . .. <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />. � <br />� ���j-�� <br />�.; . r5�n <br />� ::_ ., . <br />W.O. No. <br />Acct. No. �7 S� �� G� <br />Complaint No. <br />Date: �'�C` � ,� WATER �1 SERVICE ❑ MAINTENANCE <br />❑ SEWER O MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION � REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE .� i� <br />❑ MAN HOLE ��€ '�� <br />� _ �. - �o <br />❑ CATCH BASIN "-- � <br />❑ DITCH <br />Locatiorr. ��u� �1�'�,17�� ��� �'+ <br />W.O. Instructions: �i�/��/�L� �U ��� ��� S� �! � 3� <br />0 <br />ESTIMATED:: ACTUAL <br />Labor (hours) . Labor (hours) . _ <br />Material (cost) . Material (cost) . _ <br />Equipment (cost) : Equipment �c�st) : _ <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � <br />� <br />Completion (Date): Cost:$ <br />',. Charge Account Number: <br />Address: _ <br />Invoice'No.:_ <br />s�es <br />Charge Cost To (Name): <br />c <br />