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CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS ''`• � i �� <br /> UTILITIES DIVISION W p. No. <br /> Acct. No. �� ' � � � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 2� -2�� �— �� WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIIJ ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION i� REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE �-`G\ <br /> ❑ MAN HOLE \� I� <br /> ❑ CATCH BASIN � <br /> ❑ DITCH <br /> Location: _ � 3 � S R�II�� /�V�- <br /> W.O. Instructions: iz�T�� "? S �` �� <br /> ESTIMATED ACTUAL <br /> Labor (hours) . Labor(hours) . <br /> Material (cosq . Material (cost) <br /> Equipmenl (cost) : Equipment (cost) : -- <br /> SCHEDULING REQUESTED ----- — <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> , Z�Z?.- '�`� --Cost:S---------- - ---- <br /> Completion (Date): <br /> Charge Account Number. _Charge Cosl To(Name): -- <br /> Address: - - --- -- ---- <br /> ------ ---- Zip: ---_ - _ _ <br /> Invoice No.:— -- <br /> Amount:5 Date: <br /> 7/05 <br />