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. . _ .. .. , �, :�,,, �:T�t� . . _-�-"-_ __-' <br /> '�i> CIl't�OF EVERETT TuMt �� . 7766 <br /> DEPARTMENT OF PUBLIC WORKS P <br /> . . . � � r-;J i—`, <br /> .-- UTILITIES OIVISION �y.0. No. <br /> Acct No. � �� � � <br /> Complaint No. <br /> UTILITY WORK ORDE/R ' <br /> Date: ����°'��� � �ATER ❑ ' SERVICE O MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TFEATMENT �CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> n ❑ CATCH BASIN <br /> ��6Q� �.Y4P' � DITCH <br /> (� U � �+�� � <br /> Localion: n �S ��� �—�U�- �� <br /> Nl.O. Instructions: �/�E ��'y f/g�/�:�� <br /> L-STIMATED 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 SIIPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Compietion (Date): �f � � J�� CoshS <br /> Charge Account Number:�--�harge Cost To (Name�: <br /> Zip: <br /> Address: <br /> Invoice No.: --- <br /> _Amount:S Date: <br />