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. . �.: 'V ..� <br />f . <br />7 /B5 <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />Ul'ILI fIES DIVISION <br />�/ � : - w? -._ <br />�Z'ED �..,. <br />h16 \ MMS � " <br />R�sa`'� 3/a9 <br />W.O. No. <br />r q .� •? <br />L. . � <br />Acct. No. � 7 r �� 9 <br />• Complaint No. <br />UTILITY WORK ORDER <br />Date: �� � �NATER j� SERVICE �X MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �� � .��J.�1M / 3` A✓� - <br />w.o.lnstructions:_���L�� -����"�����—��Tµ <br />_ �'lyy�b'� ��Rnr� ir^�l �d'�� STL�I.— Ly� <br />ESTIMATED <br />Labor (hours) <br />Material (cr,st) . <br />Equipment (cost) : <br />SCHEDULING RE�IUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (c:ost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion�Datel: �j2��o � Cost:S <br />Charge Acoount Number. _ Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />nt:S Date: <br />