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i _ <br /> � <br /> CITY OF EVERETT <br /> ' DEPARTMENT OF PUBLIC WORKS "" �7�`' <br /> � � �_ 29_ y UTILITIES DIVISION y,�.0. No. <br /> j2�8�j �sT�'tL� No i,' �Yv�S Acct. No. �,7� � � y <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> �ate: �r �f � WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM . ❑ PUMP STATION .� REPAIR <br /> ' ❑ TREATMENT C CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �� �� l�lDl.�,J� v"f'T F� <br /> W.O. I nstructions: h'�/��' �R S r .P�'1�-! <br /> i <br /> ESTIMATED ACTUAL <br /> I Labor(hours) . Labor(hours) . <br /> , <br /> � Material (cost) . Material (cosq . <br /> � Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completio� (Date): ����y Cost:$ <br /> Charge Account Number: _Charge Cost To (Name): <br /> Address: Z�p' <br /> Invoice No.: Amount:� Date: <br /> �ies <br />