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CITY OF EVERETT ' <br /> �i� ' DEPARTMENT OF PUBLIC WORKS "�`� 9 � 72 <br /> .� <br /> UTILITIES DIVISION <br /> W.O. No. <br /> A���. No. �7 3— " y <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> �. <br /> h <br /> Date: �'� �' qD }� WATER ❑ SERVICE ❑ MAINTENANCE <br /> �"` � � ❑ SEWER � MAIN ❑ OPERATION <br /> 4! <br /> ❑ STORM ❑ PUMP STATION J� REPAIR <br /> ❑ TREATMENT ❑ CONSTRU(.TiON <br /> O REuERVOIR <br /> ❑ VALVE ' <br /> ❑ MAN HOLE /� ���� '� �� <br /> O CATCH BASIN <br /> r� <br /> ❑ DITCN <br /> �ocation: �� ���K'C� �ve- <br /> W.O. Instructions: '2l nµ'R� S� � �y �"�"G <br /> ESTIMATED ACTUAI <br /> Labor(hours) . Labor(hours) . <br /> Material (cosq . Material (cosl) . <br /> Equipment (cost) : Equipmenl (cost) : <br /> SCHEDULING REQUES7ED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): 2������ Cos1:S <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: -- —Z�p' <br /> Invoice No.:_ <br /> Amount:� Date: <br /> 1/PS <br />