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. . . ..�.wV.^'1[:..i,`�Tr�.'.:'>,.�t.. .. � <br />� CITY OF EVERETT '. _ ' • <br />�- DEPARTMENT OF PUBLIC WORKS. '.. -' i'°:' � S? S,' <br />UTIUTIES DIVISION <br />W.O. No. <br />MG 7-2ti'S AcctNo. LyT''��9 <br />i2,tl9 PosTED,- NoTVMMS-- . . .. . <br />Complaint No. <br />UTILITY WORK ORDER <br />� Date: �' ��� � WATER <br />. O SEWER <br />� D STORM <br />ad <br />4 � SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />O TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: S ��' � �' � –' � <br />W.O. Instructions: A��T%� � P S��P� [C <br />0 <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Fquipment (cost) <br />❑ MAINTENANCE <br />O OPERATION <br />-� REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW �OR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. � <br />Completion (Date): �� ���Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice.No.:_ —_ <br />5 <br />Charge Cost To (Name): <br />mount:$__ <br />� <br />�_up: <br />Date: <br />