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,. :. . <br /> � /// �-� �"���s CITYOFEVERETT <br /> , , �y i',.. �� �'� <br /> �� DEPARTMENT OF PUBL�C WORKS <br /> UTILITIES DIVISION <br /> W.O. No. <br /> � Acct. No. <br /> �) i 1 i G� <br /> , i� ,f' `� � Complaint No. <br /> UTILITY WORK ORDER ' <br /> Date: J� I L ^ (l � WATER '� SERVICE JE MAINTF.NANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> � TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> �6���r tl' �� e��'� <br /> W.O. Instructions: L j16 !_�� ;I�'� '�<" !'.'^' ` ' ;�`l• r <br /> i <br /> i <br /> i <br /> � <br /> i <br /> � <br /> � 7 y �S T zA�% /%O i' /,/ � �s'/��< ���•:����cu�P� <br /> � � <br /> ; � � � f ,o�✓ /�9�✓! - <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : ._ Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSc SIDE. , <br /> Completion (Date): �.o �� ��' _CosL•$ — <br /> Charge Account Number: Charge Cost To(Name):_ <br /> _Zip:— <br /> Address: — <br /> Invoice No.: — <br /> Amount:$ --_—nale: — <br /> ,ies <br />