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� CITY OF EVERETT �vr� ' <br /> ' DEPARTMENT OF PUBUC WORKS n�� � '•• ' ' <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Y � � —"� _ —� Acct. No. ��-���� <br /> ��� :� —= ' -.:; <br /> � y Complaint No. <br /> UTILITY WORK ORDER <br /> Date: .��� ❑ WATER ❑ SERVICE ❑ MAINTENANCE <br /> O SEWER �MAIN ❑ OPERATION <br /> �STORM ❑ PUMP STATION �—REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> � MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��9 � U�f�� �/�'E �i2 <br /> W.O. Instructions: �C.c��.%� ` // -`� �'���'�� "l���E <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . - <br /> Equipmenl (cost) : Equipment (cosQ : — <br /> SCHEDULING REOU[STED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ �r ��`� / Cost:S <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: _ Z�P� <br /> Invoice No.: - <br /> AmounCS Date: <br />