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' CITYOF EVERETT ; � 7597 I <br /> f DEPARTMENT OF PUBLIC WOAKS � ' � ��/b� • !, <br /> UTILITIES DIVISION ' �� � r' � <br /> �: ""r' � <br /> .�, i�n.'.ti <br /> �� � ' <br /> Compleinl No. �— <br /> UTILITY WORK ORDER ,vt ►,�pINTENANCE <br /> �"'�' � WATER � SERVICE S.� <br /> Date: � `�— p MAIN O OPERATION <br /> C SEWER <br /> ❑ STORM ❑ PUMP S7ATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> 1% 'f.'lr.-/�G 1- µ ` c� I 5 � <br /> W.O. Instructions: ! � � � `���Y��E� <br /> 17 1 1 17 .2 1 1 z 17 1 '13 1.�1 <br /> �� <br /> ACTUAL <br /> ESTIMATED Labor(hours) • <br /> Labor(hours) � .-----�— <br /> Material (cost) • - <br /> Material (cost) • Equipment(cost) : -- <br /> Equipment (cost) : — <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM . SL�S�TEM�E <br /> LABOR, EDUIPMENT, AND MATERIALS ON REVERSE SIDE. ���: <br /> CosC$ <br /> Completion(Date): —� '��� <br /> Charge Cost To(Name): <br /> Charge Account Number:_------ _ZiP: <br /> Address: _ Date: <br /> Amount:S <br /> Invoice No.: <br />