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CITY OF EVERETT 7�97 I <br /> DEPARTMENT OF PUBLIC WOAKS � ' � /�/�� . � <br /> UTILITIES DIVISION n �'�1` �'� - I <br /> �' ..c• 1�n:iL � <br /> �'� / 7� � <br /> � , <br /> Complaint No. — <br /> UTILITY WORK ORDER <br /> � �{ SERVICE MAINTENANCE <br /> Date: � �— �'S� 1� WATER r" ❑ UPERATION <br /> O SEWER ❑ MAIN <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> I Location: l f � "f�r.�I?C_ 1,� "� �. I 5 � <br /> W.O. Instructions: � � � `�� VI�E� <br /> �7/ �� i�� ►1. 19' � rx17 � Z.3 / z2� <br /> ESTIMATED <br /> ACTUAL <br /> Labor(hours) • <br /> Labor(hours) . — <br /> Material (cost) . — <br /> Material(cost) . <br /> Equipment (cost) : <br /> Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM�, SL S. ITEM�E <br /> LABOR, EQUIPMENT, AND MATERIAIS ON REVERSE SIDE. �..1,.,;,�:, <br /> Cost$_ <br /> Completion (DateY �-' <br /> Charge Account Number:�---- <br /> Charge Cost To(Name�: <br /> _Zip: <br /> Address: <br /> Dale: <br /> Amounl:$ <br /> Invoice No.:_ <br />