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JTILITY WORK ORDER <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTII.ITIES DIVISION <br />'� <br />� �� _�'_' <br />fiCr�n <br />��.. .:�-. r <br />W.O. No. <br />Acct No. L� S� 1 1 �� <br />Complaint No. <br />Date: -.(.��'_�� WATER �� SERVICE �MAINTENANCE <br />❑ SEWER ❑ MAIN �❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT O CONSTRUCTION <br />❑ RESERVOIR <br />S 3��5 ��0� O MAN HOLE ,\ �� ��Q // <br />U�5' <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: ��3?� —"�� _,(� ���(��]J� _ <br />W.O. Instructions: �r� �l .`;�. �,F�p�//LfiC�' <br />ESTIMATED <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR �ABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND fv1ATERIALS ON REVERSE SIDE. , <br />Completion (Date): �� �� Cost:S <br />Charge Account Number: <br />Address: _ <br />I�voice No.:_ _ <br />�s <br />Charge Cost To (Name): <br />.Zip: <br />_ Amount:5_ Date: <br />