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it <br /> � � CITY OF EVERETT _...J � �l� 7594 <br /> ���,` � DEPARTMENT OF PUBLIC WORKS � � <br /> UTILITIES DIVISION <br /> W.O. No. <br /> . Acct. No. r � � � ��� <br /> Compiaint No. <br /> UTILITY WOFiK ORDER <br /> Date: �r l � L— �I WATER �0' SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TfiEATMENT ❑ CONSTRUCTION <br /> ❑ RESEF'JOIR � <br /> O VALVE ;-;:,���� � <br /> �.�. � � ✓ i <br /> ❑ MAN HOLE � �,� <br /> � CATCH BASIN �' �,,� f� <br /> ❑ DITCH ���I.,,,' / III�& <br /> / <br /> Location: l 'G T�/'c ''- I :i " �' 3� <br /> W.O. Instructions: �����YIG��S <br /> �� � /7/O - %� 7� �- - <br /> /205 /,U..�.��nB�— <br /> i�o9 l��� <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED - <br /> USE CHAr GE ACCOUNT NUMBER BELOW FOR LABOR TIME SL1PS?<�I�ZE, <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �, �. <br /> Completion (Date): �.– �' �^�' Cost:� <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Zip: <br /> Invoice No.: Amount:$ Date: <br />