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. r, <br />"" ` � /7-��'� <br />CITY OF EVERETT l� <br />DEPARTMENT OF PUBIIC WORKS�� a9 `�� % Q/�� 3 <br />fa% 9 <br />UTIUTIES DI`dIS10N <br />1�° �� W.J. No. <br />UTILITY MIORK ORDEFt <br />Date: �! � �NATER <br />❑ SEWER <br />❑ STORM <br />[� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />Acct No. ��� � �� � - <br />Complaint No. <br />❑ MAINTENANCE <br />O OPERATION <br />C�/ REPAIR <br />❑ CONSTRUCTION <br />Location: �71� {�H�'�E �� �� <br />W.O. Instructions: �` ��/' � �� S �-'f�� ��'� — <br />ESTIMATED <br />Labor (hours) . <br />� Material (cost) . <br />� Equipment (cost) : <br />�ies <br />SCHEDULING REQUESTED <br />ACTUAI. <br />Labor(hours) . �. <br />Material (cost) . —. <br />Equipment (cost) : _ <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUI?�4ENT, A�ND �M�T��IALS ON REVERSE SIDE. <br />Completion(Date): ��'�7-S� CostS <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: _ Amount:$ Date: <br />