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I � CITY OF EVERETT <br /> I „ DEPAqTMENT OF PUBLIC WORKS ` ' � L J J <br /> �� UTILITIES DIVISION <br /> � � w.o. No. f�fs%� iq <br /> , <br /> i . <br /> • Acct No. <br /> i <br /> I UTILITY WORK ORDER Complaint No. <br /> � Date: �' I S �Y� ❑ WATER �' SERVICE ❑ MAINTENANCE <br /> ' ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION C� REPAIR <br /> � ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> I ❑ CATCH BASIN <br /> ❑ DITGH-----` <br /> Location: /�G ,!� �l, l <br /> W.O. Instructions ��/�l �)tf G�,N 1 S t'r �/ <br /> G ' i � �. }� � �' <br /> t 1 l o �r, ,�: , � ,t�,'_ <br /> J � j� � <br /> � I G �. �4 i^ 1 / � I . ( /� � �` / <br /> � ' �j <br /> t <br /> N <br /> � <br /> H F- <br /> H " <br /> �. . <br /> � � <br /> ESTIMATED c <br /> ACTUAL m � <br /> c <br /> Labor(hours) . Labor�hours) , t 't /� � <br /> Material (cost) . Material (cost) . � F <br /> Equipment (cost) : Equipment (cost) : � � <br /> � :. <br /> � � <br /> SCHEDULING REQUESTED � ` <br /> USE CHAkGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE � ' <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � ` <br /> m : <br /> Completion (Date): 3��� '�� Cost:S <br /> � � <br /> Charge Account Number. Charge Cost To(Name�: � ` <br /> Address: Z�P; • <br /> � <br /> invoice No.: AmounLS Date: <br /> iies <br />