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� . . •� � CITY OF EVERETT / � � I'"`� -� <br /> DEPARTMENT OF PUBLIC WORKS ,''� 22Q ] <br /> UTILITIES DlVISION <br /> ' W.O. No. <br /> Acct No. ��� � � ' ' `f _ <br /> UTILITY WORK ORDER Complaint No. <br /> Date: TI f- t ti S � � WATER CY SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> - . ❑ CAT�H BA�IN = - _ - <br /> - - ' -- - _ 0- DITCH - ` - _ -_' - <br /> _ - - Cocation: - - - ` -r-- ��� - /��_'S� �-- - _ .- <br /> W.O. Instructions: —R � 1_^c i1'f7' � r r --�,� � �S �� � �� i f � <br /> , <br /> � <br /> ESTIMATED ACTUAL , <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . PAaterial (cost) . y <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE .4CCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): ���f �'0 � Cost:S <br /> Charge Account Number: Charge Cost To (Name�: <br /> Address: Zip: <br /> Invoice No.: _Amount:5 Date: <br /> 1/85 <br />