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' CITY OF EVERETT , � ]S97 I <br /> DEPARTMENT OF PUBLIC WOAKS � � I'///�� , i <br /> UTILITIES DIVISION ' � <br /> �'—Fl°" � ''�� i <br /> �.�xe;�.-�r� <br /> � �- i -��lTeq-•-- � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> O81e: f`�_ �H WATER �( SERVICE �d MAINTENANCE <br /> O SEWER ❑ MAIN O OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> O RESERVOIR <br /> O VALVE <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: I V � "r�r`-I?t. I,Z-` ""1 c I i � <br /> W.O. Instructions: � ��E�' <br /> 1� 13 � 1��7 � taL Iz17 1 �3 �1] 2711� -'��rwrarG <br /> 7 <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . <br /> Material Icost) . Materiai (cost) . <br /> Equipment(cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR IABOR TIM6�SLI�S. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVEASE SIDE. �.1���ti <br /> Completion (Date): �`�' � L��--Cost:$ <br /> Charge Account Number:�--Charge Cost To(Name): <br /> _Zip: <br /> Address <br /> Invoice No.: <br /> Amount:$ —Uale: <br />