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CITYOFEVERETT .: ; , ��"� �`'1' ' ]SQ2 <br /> ri, Tu�:tN95 Rr� <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> W.O. No. <br /> _ Acct No. �-%'• �� � <br /> � i � i 't - , • <br /> � Compleint No. <br /> UTILITY WORK ORDER <br /> Date: � ' � �WATER �SERVICE O MAINTENANCE <br /> ❑ SEWER MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION � REPAIR <br /> ❑ TflEATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR � <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> � CATCH BASIN <br /> ❑ OITCH <br /> ����o�: � 9►b R�� K� �✓� _ <br /> W.(?. Inatructions: R E PL R G � � � GN/Q� �P GV�7l� <br /> 1 '��1 �� fA`l�� <br /> � - <br /> � <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . . labor(hours) . <br /> Material (cosq . Mater+al�cost) . <br /> Equipment (cost) : Equipment(cost) : — <br /> � SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME IPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �,�� <br /> Completion (Date): —Cost:$ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Z�p' <br /> Amount:$ Date: <br /> Invoice No.:_ - <br /> ' ves <br />