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� _ , CITY OF EVERETT , � ��j 97 I <br /> DEPARTMENT OF PUBUC WOpKS � • ''///�� ; <br /> UTILITIESDIVISION ��-� �`,,, ,�,.��,.., i <br /> ..`. 1�Clr'L � <br /> AO ��S' Li� � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �-�_'.�� �H WATER � SERVICE rd MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTFiUCTION <br /> O RESERVOIR <br /> ❑ VALVE <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: I V v�f:��.-�'� 1 " - c I s � I <br /> W.O. Instructions: � � � S�yCV��E,� <br /> 1113 1�17 t.21q Iz17/ (_Z3) l2�Ilf�ifiA4 <br /> i <br /> ACTUAL � <br /> EST'IMATED --� � <br /> Labor(hours) . Labor(hours) . I <br /> Material(cost) . _. Material (cost) . � <br /> Equipment (cost) : <br /> Equipment (cost) : — � <br /> SCHEDULING REOUESTED <br /> LABOR, EQUI MENTUAND MABERIALS ON REO E SEOSIDE. ���1 E <br /> Completion (Date): _�i ' �' �� Cost:S <br /> Charge Account Number:_-----�harge Cost To(Name): <br /> _Zip: <br /> Address: <br /> Invoice No.: -- <br /> Amount:$ Date: — <br />