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+ CITYOFEVERETT . �4�2 <br /> I� OEPARTMENT OF PUBLIC WORKS <br /> � UTIUTIES DIVISION <br /> 5 w.o. No. <br /> a � �aq� 'b ��AcctNo. L 7} � � �> <br /> UTILITY WORK ORDER � ' ��� � �Complaint No. <br /> �jlG •� <br /> Dete: 3- � )��� � WATER � SERVICE ./�"' �'.p� MAINTENANCE <br /> O SEWER L� MAIN ❑ OPERATION <br /> O STORM O PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOIE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: ,.���3i � S�inl✓ff��✓� �P��l � '3 ,' �l <br /> W.O. Instructions: - k� � � S t �i'� � ' f <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . _ <br /> Material(cost) . Material (cos►) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED � <br /> F <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMI2E � <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ 3 �o� -8�_Cost:$ <br /> Charge Account Number. Charge Cost To (Name):_ <br /> Address: <br /> Zip: <br /> Invoice No.: Amount:S Date: <br /> 1//6 <br />