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i <br /> . ;. <br /> ,_, � , �� � , <br /> CITY OF EVERETT <br /> n r n M1 <br /> DEPARTMENT OF PUBLIC WORKS ' ' " '' <br /> UTILITIES DIVISION � �3;-�'� <br /> W.O. No. <br /> Acct. No. ' ' � S � � / <br /> �\• •�; �.�,- i,.�c:+(���, . _ \ <br /> UTILITY WORK ORDER Complaint No. I <br /> /r i <br /> Date: �r�1.�-�-� 'Q7 WATER ❑ SERVICE O MAINTENANCE <br /> ❑ SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION i <br /> ❑ RESERVOIR I <br /> ❑ VALVE <br /> � d MAN HOLE I <br /> ❑ CATCH BASIN i <br /> ❑ DITCH <br /> �,/ ��f � <br /> :. � it/N �� � /��n �S Z%� <br /> � Location: �.'� �� � d����(��°.�" -C�� ` � � �' _ i <br /> W.O. Instructions: � '�` <br /> I <br /> t �. ._ -..�, ---�., ; _. ,� ;. ,.. _ <br /> E�TiNiATED ACTUAL <br /> Labor(hours) . _ Labor (hours) . _ _— <br /> Material (cost) . Material (cost) . — <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED � <br /> �_ <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS� I fEMP�E �� I <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � ' <br /> ._.a , ... -i.. , .�.,�. . �. <br /> Compleiion (Uate): _Cost� <br /> Charge Account Number: _Charge Cost To (Name): <br /> Address: _ZiP: <br /> Invoice No.: Amount:� Date: <br /> I <br />