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CITY OF EVERETT <br /> c� O ti� DEPARTMENT OF PUBLIC WORKS • -• ''� �'- �' <br /> UTILITIES DIVISION <br /> W.O. No. <br /> � i <br /> f I � '�� ' ! J Acct. No.rn � � i.i y <br /> C'�r: ,:'t.uo��ot¢F.\ \ <br /> UTILITY WORK ORDER Q,omplqin�,No.,,�_r <br /> Date: �`� � -� � � WATER �Li SERVICE 1� MAINTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STOFiM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> C] RESERVOIR <br /> ❑ VALVE u ,� <br /> ❑ MAN HOIE ^'� 4bGTItJ6 <br /> ._ __ _7� <br /> ❑ CATCH BASIN <br /> ❑ DITCIi <br /> Location: / ��� ����A�� �U�' _ <br /> W.O. Instructions: ,,��/�✓ ,L���_�/� ��'cP�,� �,f� �` 4�� <br /> ��vs ,9�,/Q.sT_ ..���T�� — <br /> �L�.s _. .�. , , <br /> ESTIMATED ACTUAL. <br /> Labor(hours) . Labor(hours) . __ <br /> Material (cost) . Material (cost) . _ <br /> Equipment (cost) : _ Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> �'. <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS:'I��ZE ' <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE ` <br /> ��.� _� � -.�,�•c ��� <br /> Completion (Date): CosL•$ _ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: ZiP�- <br /> Invoice No.: Amount:S _Date: <br /> �res <br />