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..... <br /> CITY OF EVERETT <br /> � ��� . �� 57 <br /> DEPARTMENT OF PUBLIC WORKS `"• <br /> .. ,, ,e� �:z•�-✓o ;: q <br /> UTIUTIES DIVISION l <br /> W.O. No. 0 <br /> AcCtNo. !r � ) 11 �l <br /> iJTILITY WORK ORDER Complaint No. <br /> �ate: J Z- JO'.+b �{ WATER C� SERVICE �1' R�IAIMTENANCE <br /> ❑ SEWER ❑ MAIN O OPERATION <br /> ❑ STORM O PUMP STATION ❑ REFAIR <br /> ❑ TREATMENT O COIJSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HO;.E <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ������ �� <br /> 1 i 1 <br /> W.O. Instructions: f/pG !( 7�%' -r?f-rt/� ���X �1 Gn �..�-i �,.� (� L:i`�"-�,� <br /> �/1fWt'. �c�� /_,�.s�K�lGc_ <br /> , • - - <br /> ESTIMATED ACTUAL ,e <br /> Labor(hours) . Labor(hours) . _ <br /> Materiai (cost) . Material (cost) . <br /> Equipment (cosq : Equipment (cost) : _ <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> �A80R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> �� ;:�.. <br /> Completion (Date): / � '"" ��— �� CostS <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: Zip; <br /> Invoice No.: Amount:S Date: <br /> �ias <br />— _ — <br />