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, . .... . _ <br /> CITY OF EVERETT ' ]594 <br /> , ���1 ` � DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DiVISION W.p, No. <br /> Acct No. r ' � �'�� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �' � � J � WATER ��0' SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR / <br /> ❑ VALVE <br /> t� ,�`1! <br /> ❑ MAN HOLE � � � ,.; <br /> O CATCH BASIN ,,(�' 'y1 �J � � <br /> � DITCH !�'� /I l�l�� <br /> Location: �- � =�r '- I � '� ' 3� <br /> W.O. Instructions: Ul��- s��'V���s <br /> �7l0 - rz � -i� <br /> /2lJS ;�"�1O-� - <br /> ./.�iG4 /i�".�„ <br /> , <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor�hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment(cosq : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME S PS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �,,�,�� �,; <br /> Completion (Date►: _1 - �'�^�' Cost:$ <br /> Ci�arge Account Number. Charge Cost To(Name): <br /> Zip: <br /> Address: <br /> Invoice No.: <br /> Amount:$ Date: — <br /> �.�� <br />