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CITY OF EVERETT <br /> � ��C^l. DEPARTMENT OF PUBLIC WORKS ��--j 8�n7 <br /> �= UTILITIES DIVISION <br /> W.O. No. <br /> �li�#� 19- 28- S <br /> Acct. No. I.� � ► ► y <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: F''?I� 1'9 WATER �SERVICE MAINTENANCE <br /> —�T SEWER �❑ MAIN �OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR i, �� <br /> ❑ VALVE N� ���6 <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: .�1�''_S�� ' ����� ' <br /> W.O. Instructions: /�' � ��`�1����1 �e(����� fp �'� �� , <br /> �:(L��•►���,P �/ t� �'�✓A� <br /> ESTIMATED ACTUAL � <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : 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 /> Completion (Date): ��'���y Cost:$ <br /> Charge Account Number: Charge Cost To(Name)i �� •}�N,�'T��V'�'.Pvc d��y"G <br /> Address: � �G.Z F J-S /=�/�� Oy r?Q S i'�� tv�ol.� �/� �-�SJ1 Zip: - <br /> Invoice No.: Amounl:$ Date: <br /> a� <br />