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nR. � •.� y�. <br /> CITY OF EVERETT <br /> - DEPARTMENT OF PUBUC WORKS h- -�4-8 Z 9 <br /> UTILITIES DIVISION ��� / '�LC`j� <br /> W.O. No. o <br /> Acct. No. �� 1 � � ��� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: L� [� WATER �?` SERVICE ❑ MAINTENANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> � STORM O PUMP STATION Cd� REPAIR . <br /> � TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> �ocation: ���� ���°1�1��(/f��Jl�� -- <br /> c�v T � <br /> W.O. Instructions:�)�� � � r c � I i n�,� _ <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> M2terial (cost) . Material (cosl) . <br /> Equipmer.t (cost) : __ Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPME�T, AND MATERIALS ON REVERSE SIDE. -�,. <br /> D —����-�1.��-.�:� <br /> Completion (Date): �-Jl o � Cost:S — <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> Invoice No.: Amount:S Date: _ <br /> iias <br />