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l CITY OF EVERETT . � � �I �5 9 4 <br /> ����� � DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION y,�,p, No. — <br /> Acct. No. � ' ` � �`� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: � � � 1 � WATER ,�0� SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM O PUMP STATION ❑ FiEPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> � RESERVOIR ; <br /> i <br /> ❑ VALVE ;;-��� <br /> ❑ MAN HOLE f � � ' br <br /> ❑ CATCH BASIN �{/� i1,� /�� S <br /> � DITCH �� `l� -�' l ,r�� <br /> �� <br /> Locatiorr. tt �' ����R t� I :� "T ' �3� <br /> W.O. Instructions: ` �V � <br /> , . /� — %Z � �C�L• <br /> _ - - - -- ,��� �'��- � <br /> /�� 1 n1LJ <br /> f <br /> ESTIMATED ACTUAL <br /> � Lebor(hours) _ Labor(hours) . <br /> � Material (cost) . Material (cost) . <br /> � I Equipment (cost) : Equipment (cost) : <br /> L_ <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL.�PS. <�I� <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. �, _.� <br /> Completion (Datel: � - �' �^� Cost:$ <br /> Charge Account Number:�--Charge Cost To (Name): <br /> Zip: <br /> Address: <br /> Invoice No.: <br /> Amount:S Date: <br />