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� CITYOFEVERETT � ��j? ` 7253 <br /> � z s-� DEPARTMENT OF PUBLIC WORKs <br /> UTILITI��ErS�DIV1810N x — 34 ����� <br /> W.O. Na <br /> � r <br /> �� l%ii � �c ACctNai �S- I �q <br /> Y} , t-. <br /> �%�� ���-��� Complaint No. <br /> UTILITY WORK ORDER <br /> De�e: �n �] b y pl WATER -tG SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION ,�l REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAWE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> ��t�o�: � b2 N U�i,�� D f1�c_% <br /> W.O. Instructions: ��%�� "e �'�''P s�'�� <br /> _ ` <br /> � <br /> � � — ; <br /> I � � f' <br /> I <br /> EStIMATED ,ACTUAL lf/eS`•' <br /> Lebor(houro) � . � Labor(hours) ' . ' <br /> Materiai(coaq • Material(coeq . <br /> EquipmentZcosq : Equipment (ccst) : � <br /> � <br /> r <br /> SCHEDULING REOUESTED <br /> USE CCOUNT NUMBER BELOW FOR LABOR TIME 9L�PS._ ��M\E\ <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. ,��:.�t,.,�� <br /> Completion (Date): ��'��[� Cost:$ <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: ---- ZIp� � <br /> Invoice No.: <br /> Amount:$ Date;• <br /> vsa <br /> � - <br />