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: �. <br /> X' <br /> � � CITt'OF EVERETT �_ 4��0 2 <br /> DEPAR7MENT OF PUBIIC WORKS � ,_���_'/ <br /> UTIl.IT1ES DIVISION W� N, 0 <br /> AccLNo. ��� ���� �� <br /> Compleint �o. <br /> UTILITY WORK ORDER <br /> Date: �" � L) � � � WATER ❑ SERVICE �MAINTENAN(;E <br /> ❑ SEWER [� MAIN ❑ OPERATION <br /> ❑ STG,�M ❑ PUMP STATION ❑ REPAIR <br /> ❑ ?RcATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: 1 D 3 ��+/I D7 SD� v� <br /> _i_ .� <br /> W.O. Instructions: '!f0 l�l _ /_T j''� i'� T�1�)'1" lj ll �Iriya'� — <br /> rG'l2 C1Dr� ll��)Ll�.�.�5'r?vvf�us� — <br /> I <br /> i <br /> i <br /> ESTIMATED _ ACTUAL <br /> labor(hours) . Labor(hours) . — <br /> Material (cost) . Material (cost) . <br /> Equipment(cost) : Equipment (cest) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOFI TIME SLIPS. ITEMIZE <br /> �ABOR, EQUIPMENT,AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): �` � Cost:S— — - <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: _ Zip:. <br /> Invoice No.: <br /> Amount:$ Date: <br /> vas <br />