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�'� _ , ,, . <br /> GITYOFEVERETT ��� 40�� <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION y�.p, No. <br /> .�a„e``"'� '°'�' Acct No. 4'T� 1� `I <br /> F 30 —Z9 — S <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �r � � �' ,(� WATER f�l/SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTR��TION <br /> ❑ RESERVOIR � <br /> ❑ VALVE �(,- �' <br /> '4J <br /> ❑ MAN HOLE �' <br /> �. ,�2�, <br /> ❑ CATCH BASIN ''� <br /> O DITCH <br /> Location: ���� � n�� � � � � <br /> W.O. Instructions: L : ST tG '� ! ��''� <br /> �p ;. i r r_ -e. . <br /> YL,�f1-�..� � �it� � <br /> � s zd �`G <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Materiaf(cost) . Materiai (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): �Gr�� � � Cost:S <br /> Charge Accounc fJumber._---Charge Cost To (Name): <br /> Zip: <br /> Address: <br /> Invoice No.: <br /> Amount:$ Date: <br /> , <br /> iias <br />