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i <br /> , . CITY OF EVERETT ��`"� '�� � •� <br /> DEPARTMENT OF PUBLIC WORKS ����IB <br /> � UTILITIESDIVISION (�, I�� �-- 19 -a� <br /> I�i �J W.O. No. <br /> ,�/'��rt i G� <br /> AccL No. ��7�- I 1�I <br /> V � <br /> � UTILITY WG�RK ORDER � �`�� Complai,' No. <br /> Date: GI- � ��Y7 �C1 WATER E� SERVICE O MAINTENF,NCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION �7' REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR I <br /> •� � VALVE I� <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ,� ❑ DITCH <br /> Location: �B-�.T�J�✓� �� <br /> , �!> <br /> W.O. Ins.tructions: 1.��i�1� 1 i? � +� S�f,OL/ Lf <br /> I <br /> I <br /> � <br /> ESTIMATED ACTUAL N'IZ-S II' <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equiprnent (cost) : <br /> SCHEDULING REQUE.STED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SIIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. _�.;�t����> <br /> Completion (Date): 9��'7 ��7 Cost:S <br /> Charge Account Number: Charge Ccst To (Name): <br /> Address: Z�P� <br /> Invoice No.: Amount:S Date: <br /> i/CS <br /> i <br /> � <br /> i <br />