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S 3o-�-g-s <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />c��c?? <br />; .. . <br />W.O. No. _ <br />Acct. No. I 7 S- � 1 <br />� <br />Complaint No. — — <br />UT. ILITY WORK ORDER <br />Date: l�' � g � �� �� WATER `C�" SERVICE ❑ MAINTENANCE <br />U SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION Ij2 REPAIR <br />O TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR i, ,� <br />�-0=.T,g � <br />��p ❑ VALVE 1_ g- go <br />O MAN HOLE ---�> - <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: � � T�`���—�� <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) � <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR L.�BOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. . <br />Completion (Date): �''� � � �� Cost•$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />+ies <br />Charge Cost To (Name�: <br />nt:$ <br />ate: <br />� <br />