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' �i� 1�tfii ' <br />1 <br />, 3, <br />,��:. <br />=;t�•�� . , , . <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES.D.IVISION <br />.�, .,.::, :� , <br />. :,: <br />. nC7n <br />i�?.. '.•tl_.:. <br />W.O. No. <br />L75-��y <br />Acct. No. — <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: �� ��'� � W�TER lD SERVICE « MAINTENAiJCE <br />C SEWER ❑ MAIN O OPERATION <br />❑ STORM ❑ PUMP STATION � REPAIR <br />Location: <br />W.O. Instructions: <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR , „ <br />❑ VALVE �,�° x°`�N6 <br />---�-�— <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />(� t'� i% ,(' � L X!: f 9" L. t- 1../J <br />�!ls=G,C' �har-� r�a,,,�L r�� �rll , � v� s c r sN..7� r�-F�- <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <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: Charge Cost To (Name): <br />Address: — <br />Invoice No.: <br />Ai <br />