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�"� #��"�T� ` .. ,. . , - `�lr,",�'i".��',��"�*"�'y` <br />. <br />. . a! � CITII OF EVERETT �_ 44l5 <br />,. . I,�f• <br />��y�' DEPARTMENT OF PUBLIC WORKS \' _2 �_Zg�S <br />! �� <br />UTILITIES DIVISION ;i yy.0. Na <br />,i <br />' ,� ��� �� � .,� �� Acct Na G 7S = //'9' <br />� � Complaint Na <br />� UTILITY WORK ORDER <br />F Date: � 'GG IA� WATER <br />� ❑ SEWER <br />. ❑ STORM <br />W.O. Inetructiona <br />i <br />ESTiMATED <br />Lebor (hoursj'` � - : — <br />Meterial(cosy . — <br />Equipment (cos� : _ <br />crucni u iN[; REOl1ESTED <br />D' SERVICE <br />❑ MAIN <br />❑ PUMP 5TATION <br />❑ TREATMf?NT <br />❑ RESERV�JIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />I _n _ <br />rPAI <br />-2a- <br />❑ MAINTENANCE <br />❑ OPERATION <br />�REPAIR <br />❑ CONSTRUCTION <br />� <br />i./✓rt� �O . <br />r,_ ,n, , Y 31- <br />Labor(hour� . <br />Material (cost) • <br />Equipment (CosO � <br />LABOR, EQUIPMENTUAND U�BERIALS ON RE ERSEOSIDE E SLI <br />Gompletion (Date): �� � CoskS <br />Cherye Account Number. <br />Charge Cost To (Name): <br />Address: <br />Invoice No.: _—.— <br />Amount:$ Det6: <br />-s _ I <br />