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CITYOFEVERETT , ]a$2 <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> i W.O. No. <br /> �V� � . <br /> ' Acct No. I 7 T 1 I K <br /> 1� . <br /> ��,J' � Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �� � � � � � WATER �S SERVICE p MAINTENANCE <br /> .t <br /> ❑ SEWER ❑ MAI� O OPERATION <br /> O STORM ❑ PUNP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> — � ITCH � ��r�'L <br /> � <br /> Location: 2 � •-- <br /> -----'� ic � <br /> NV.O. Instructions: � ;� r � K /jp? SnP1 �1 L l � ��Tr i1!-+�P 5 � �� <br /> ��t� r ¢ p�- � <br /> . <br /> F1' � '7'- ' �r's' ,H. <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL S. I, MIZ� <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. _.��� <br /> Completion (Date): -� Cost:� <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Z�p� <br /> Invoice No.: Amount:$ Date: <br /> �ies <br />