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.. . . .�i...v�2�-g 1y�+��'�'�$,"... _ ;r�.f . _. -.: '.4,,.: . . . . . • . . , <br /> , ` r.. '. . . . . <br /> CITY OF EVERETT <br /> � • ' DEPARTMENT OF PUBLIC WORKS � "" $�S� <br /> ., <br /> '' � �� UTILITIES DIVISION <br /> � W.O. No. — <br /> . . u $�9�� AccL No. l. 7 5 r � y <br /> Complaint No. -- <br /> UTILITY WORK ORDER <br /> Date: �� I� -3� �] WATER � SERVICE ❑ MAINTENANCE <br /> O\ SEWER ❑ MAIN' ❑ OPERATION <br /> O STORh1 ❑ PUMP STATION C� REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOi9 „ �� <br /> ❑ VALVE �=rc�o <br /> � - �-� <br /> ❑ MAN HOLE •� <br /> ❑ CATCH BASIN <br /> _ ❑ DITCH � <br /> Location: �' E e <br /> W.O. Instructions: REPAUZ SER►�1� <br /> ;` . <br /> ' - <br /> E5TIMATEJ ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Naterial (cosf) . Meterial (cost) . <br /> Equipment (cos!) : _ Equipment (cost) : <br /> •SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> • Compietion (Date): .— S� � �fl� Cost 8 `�. <br /> , ` ._. ,1,,.{. :; _•.`_ ; ; <br /> Charge Accoun� ,Jurimber:�---�harge Cost To(Name) <br /> ` ' '' ' Zip:.— - . . <br /> Address _ <br /> _ . ., - Amount:$__ DatP: <br /> Invoice No.: -- <br /> iies <br />