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. . , .. , ,.. <br /> ,, ., • CITY OF EVERETT <br /> DEPARTJVIENTOF PUBLIC WORKS i�''� 9�45 <br /> � ;n . <br /> UTILITIES DIVISION <br /> W.O. No. __ <br /> ' � � 2 - 28-�}- AcctNo. _�� " 11�1 <br /> �`10 PbSfE� <br /> UTILITY WORK ORDER Complaint No. <br /> Date: �' �s" �� WATER l� SERVICE ❑ MAINTENANCE <br /> � SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORhf ❑ PUMP STATION f�( REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��� �f% �� ��&���J _ <br /> W.O. Instructions: __�� �1�f,_,��� ��/�� <br /> � � <br /> ESTIM.aTED ACTUAL <br /> Labor(hours) . Labor(nours) , <br /> Material (cost) . Material (cost) . <br /> Equipment (Cost) : _ Equipm�nl (cosl) : _ <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOIiNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, ANG MATERIALS ON REVERSE SIDE. <br /> Completion (Date): � � `�� r^a CosL•� _ — <br /> Charge Account Number: Charge Cost To (Name):_ _ <br /> Address: Zip:. <br /> Invoice No.:-- _Amount:� Date: <br /> vas � <br />