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I <br /> , <br /> CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS $9U? <br /> UTILITIES DIVISION <br /> i <br /> W.O. No _ <br /> Acct. No. L7 } 1117 <br /> — <br /> �1 Complaint No. <br /> UTILITY WORK ORDER <br /> Date: Cl 17 'i't/ �/ WATER CK SERVICE MAINTENANCE <br /> ❑ SEWER ❑ MAIN OPERATION <br /> ' ❑ STORM ❑ PUMP STATION C REPAIR <br /> tj ❑ TREATMENT ❑ CONSTRUCTION <br /> t ❑ RESERVOIR <br /> i <br /> ❑ VALVE <br /> t ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> F <br /> ( ❑ DITCH <br /> Location: G C, <br /> W.O. Instructions: Chi rr " -//)(-TI -,') ,iL iPcIrl ior.T 1) ;jj, T G <br /> { I <br /> I — <br /> n — <br /> 1 <br /> i <br /> i <br /> ESTIMATED ACTUAL <br /> Labor (hours) — Labor(hours) <br /> Material (cost) Material (cost) <br /> Equipment (cost) _ Equipment (cost) <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT DUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE, <br /> Completion (Date): q—.27��—Cost:$_ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: _Zip: <br /> Invoice No.: Amount:$— _ Date: <br /> 1/55 <br /> i <br />