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I <br /> .r., . . .,�s-�s:.. •,�.1�7;••�Wi�•�.�i:•-:r- '" � 1.-..aY-�/11'!�}'�'l.'t�l't�F'��i�i'?'K.�. I <br /> ) v <br /> �"� �'.� ',.,.w C :.�: i '� "'. --�. . -. :. � ��.o_.�t!'t<i`1'��S`t,.� � S$Ci.. i:' <br /> 1'�.�L�J.it.G�-v . . �-' � ' � . ._ -. . -.. .. . . y. � • �Yhe N� 1�' S . � �.. <br /> CITY OF EVERETT , � u ,_ <br /> a �� � � � ' DEPARTMENT OF PUBLIC WORKS '� '`'��'t�Q '� i$3OB 3'"h `: <br /> : <br /> � .1'7 �, i � t-`"�— . , .+ ''Tl � � +F i � r ; <br /> T : f.� ! <br /> ,�; ', UTILITIES DIVISION �=K : ,, r � � ' <br /> : . . _. WO�No .: '. <br /> t . �' .� , , <br /> _., _ . . <br /> . � � $-ZtS '� � Acct No ��.5^ /l:9 <br /> : � .: � .�. . . , Complaint No <br /> UTILITY WORK ORDER <br /> Date:��—�Z`� � �- VVATER d SERVICE �( MAINTENANOE `` <br /> .:. ❑ SEWER ❑ MAIN ❑ OPF_RATION.. <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION ' <br /> O RESERVOIR I <br /> ❑ VALVE i� �� <br /> t.lo �asT1N6 <br /> ❑ MAN HOLE f� il <br /> ❑ CATCH BASIN <br /> O DITCH <br /> Location: � �G s7 X4 v�e.e LcJo � 3S_3 �SG 2 z— <br /> W.O. Instructions: �o c� Te /�J� Te r 5'�v T a 7�f . �c���c' i�� � <br /> �ou � � , T ,G �/ 7-/,� T;H,c �oc,� yo T %�e�e <br /> lT(.�/�p � d �/ �- i � Te.f� ,/��n ��T �� <br /> � <br /> � Sf��� • L ��u \ `���. � <br /> i _ <br /> I <br /> ESTIMATED ACTUAL <br /> � <br /> Labor(hours) . � Labor(hours) . <br /> � <br /> Material (cost) . � Material (cost) . <br /> Equipment (cost) : I Equipment (cost) : <br /> SCHEDULING REQUESTED j <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS."—�MI E"` ". <br /> LABOR, EQUIPMENT, AND MATERIAL'S ON REVERSE SIDE �L..� �,oN�il`; <br /> . I . ,�,. '. <br /> Completion_(Date): Cost:$ - �� <br /> Charge Account Number. ' ! Charge Cost To (Name): ' �� <br /> � � <br /> , . � <br /> 'Address: �ix�ti ,, Zip <br /> • t <br /> S i ., � ' .. : a'i.yl'�_. . i.; � . <br /> ;t'Invoice No.. : ;' , � .:;. .': Amount:$ • ... : _ <br /> n �"-*'`�N, Date <br /> � .. i � . .. •• t �.Y A,y . <br /> BrJ� �.. � .. . . . .. . . .. . . " . . I'.. ���.:.`. .. ' . <br />