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CITY QF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS ��° 9O4 � <br /> UTILITIES DIVISION <br /> W.O. N o. -` <br /> u 3� -29 - 4 <br /> Acct No. �.�r >> 9 <br /> n�� �5��� Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �' ���� J� WATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER O MAIN O OPERATION <br /> O STORM ❑ PUMP STATION f� REPAIH <br /> ❑ TREATMENT ❑ CONSTiiUCT10N <br /> ❑ RESERVOIR <br /> ❑ VAIVE <br /> ❑ MAN HOLE <br /> ❑ CATCH SASIN <br /> ❑ DITCH <br /> Location: `� �� ��M���E <br /> W.O. Instructi� � �y `���E� <br /> � - <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . — <br /> Material(cost) . _ Material (cost) . - <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDU�ING RE(�UESTED - <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EOUIaMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ���'�� Cost:s — <br /> Charge Account Number. Charge Cost To (Name): <br /> Address: Z�p' <br /> i <br /> Invoice No.: Amount:$ Date: <br /> ' ves <br />