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CITY OF EVERETT <br /> . . ��� � " <br /> DEPARTMENT OF PUBLIC WORKS �� � ' <br /> UTILITIES DIVISION �_'�' .; �' � <br /> ,. .1- i <br /> W.O. No.— <br /> Acct No. !'•' ! � � � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �r' - � � — d'��ATER � SERVICE ❑ MAINTENANCE <br /> ❑ SEWER �MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑/REPAIR <br /> ❑ TREATMENT �l CONSTRUCTION <br /> ❑ RESERVOIR � , <br /> O VAWE <br /> ❑ MAN HOLF <br /> h��/ 5�.�� ❑ CATCH BASIN ' <br /> 1 pOI� ��Z ❑ DITCH , ' <br /> location: I�—z- I q �� $ / �G�C%I �- /"` ��Q�°• '�J <br /> � " �I(/✓' .a � /7'a G-.f'U ✓] . `;. <br /> W.O. Instructions: — ' - - � .. � — <br /> ESTIMATED ACTUAL <br /> I <br /> Labor(hours) . Labor(hours) . i <br /> Material (cost) . Materiai(cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED ___ _ - <br /> ' USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME S�IPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> � -, r . b •- <br /> Completion (Date): > ' � Cost:S�_ __ --_ -- — � <br /> Charge Account Number. Charge Cost To(Name): �- � - � A ' • �` <br /> � " ' r � ' ,^ � <br /> Address: <br /> �.�i �' Zip:. - <br /> Amount:S Date: _ � <br /> Invoice No.:— ' <br /> ves <br />