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��R.i�. ..�.-.,Y.�'tifV•� . .. _ . ... <br />. CITY OF EVERETT � '' % �$ 5 <br />i ���� �;� <br />DEPARTMENT OF PQIBLIC WORKS -(�"'ZI� � J <br />r� �Q, <br />UTILITIESDIVISION� i WO �o �—i9—��� <br />` <br />i:},,,,�� <br />r;.; AcctNo..; �' %��� <br />y.Y, <br />,��� � �' � (;omplaint tJo. <br />UTILITY WORK ORdER <br />Date: � � ' � � �NATER <br />❑ SEWER <br />❑ STORM <br />. . . 1 � � �.iri� <br />�' SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ 'fREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH 6ASIN <br />❑ DITCH <br />?�� /�✓1� 1� At� [/ <br />W.O.Instructions: L� �-i <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />❑ MAINTENANCE <br />❑ GPERATION <br />�/ REf'%iIR <br />O COPSSTRUCTION <br />ACTUAL � ��S <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CFiARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLI S. ITEMIZE <br />LABOR, EOUIPMENT, AND MATERIALS ON R[VERSE SIDE. �;,t��y; ` <br />Completion (Date): a � Z? �,�7 Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />vas <br />Charge Cost To (Name): <br />unCS <br />� <br />