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. CITY OF EVERETT , � , 7597 I <br /> DEPARTMENT OF PUBUC WOpKS , • � ///fi� � <br /> i <br /> UTILITIES DIVISION � � <br /> ����iti ,-,�, ,i,.,�r � <br /> �. �,i <br /> �.�.�,►�' i�t- � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �- ' �' ��� ,� wATER � SERVICE td MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ qESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Locallon: I L v �f,�r..-/'� 1.2 " "") � I i � <br /> W.O. Instructions: �1 � � S€�V1�ES <br /> i� ��a�� / ►� iq /� z �� 1� �3� ��zz,u�r.�rae� - <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor�hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment(cost) : Equipment (cost) : <br /> SCHEDULING REOUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM SLIP„S. ITEMIZE <br /> LABOR, EDUIPMENT, AND MATERIALS ON REVERSE SIDE. ��i1�� <br /> Completion (Date): —�i ' �' � �� Cost:$ — <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> Invoice No.:__ — <br /> Amounl:5 Dale: <br />