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. e .z o_z 9 -s <br /> CITY OF EVERETT <br /> _ n ;j4 .� <br /> ' DEPARTMENT OF PUBLIC WORKS ' •�- � • <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Acct. No. ti 7��� �S <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: ��� ❑ WATER ❑ SERVICE ❑ MAINTENANCE <br /> � SEWER ❑ MAIN ❑ OPERATION <br /> � STORM ❑ PUMP STATION 2A REPAIR <br /> ❑ TREATMENT q CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> � CATCH BASIN <br /> ❑ DITCH <br /> � g 9 � . � <br /> Localion:J�� � // � <br /> W.O. Instructions: ���7 /'/ �- / �� �� <br /> /2ea�vi�c S. �e Sewc�c <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) Material (cosq . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REOUESTGD <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABnR TIME SLIPS. ITEMIZE <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. , <br /> Completion (Date): Cost:S — <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Z�P� <br /> Invoice Nc.: _ __Amount:S___ _Date: _ _ <br /> ,ies <br />