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• i <br /> I <br /> CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS l - 6475 <br /> " UTILITIES DIVISION <br /> W.O. No. q <br /> Acct. No.1-2 ) t <br /> V Complaint No. <br /> UTILITY WORK ORDER <br /> Date: L' S ) y C WATER (d SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION F1 REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> t ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> r ❑ DITCH <br /> Location: C.p��j y `s� .S C— �/ <br /> W.O. Instructions:_G {, lA ��� w r <br /> ESTIMATED ACTUAL <br /> Labor(hours) —1 Ahnr(hn rs) <br /> Material(cost) Material(cost) <br /> Equipment (cost) Equipment(cost) <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): Cost:$ <br /> '-.Charge�Account Number:--Charge Cost To(Name): <br /> Address: _ _ Zip: <br /> i <br /> Invoice No.: AmouncS Date: <br />