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c:. i' ... .::;fyX•''l ljiw�'tyyif Y:—. <br />i CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS 5 - <br />UTILITIES DIVISION <br />W.O. No. <br />U Acct. No. L7 5 1 ! 9 <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: WATER <br />U <br />SERVICE <br />❑ <br />MAINTENANCE <br />❑ SEWER <br />❑ <br />MAIN <br />❑ <br />OPERATION <br />❑ STORM <br />❑ <br />PUMP STATION <br />V <br />REPAIR <br />❑ <br />TREATMENT <br />❑ <br />CONSTRUCTION <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />rl? % r! S01! 77/ <br />3y00 <br />Location: <br />W.O. Instru ctions: C.11LG�Ah'GA !c?L-t yre ,pff'»IR !1` 6-,-1 y SIIDE <br />ArTI IAI <br />Co I I IVU1 ICU <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): _ Cost:S <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />35 <br />