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CITY OF EVEReTT <br />' � DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION _ <br />�, i�� Pos7�a <br />No Tvir�� R �Q. <br />•�-` ' Oy 2 � ' `� <br />UTILITY WORK ORDER <br />Date: '� 7 1,L_ � WATER <br />❑ SEWER <br />� STORM <br />V� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />O TREATMENT <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />7510 <br />W.O. No. <br />Acct No. J-� 5 � � `� <br />Complaint Na <br />❑ MAINTENANCE <br />❑ OPERATION <br />I� REPAIR <br />❑ CONSTRUCTION <br />Location: �5�0 (��57'" .ft�� i(/�,/ DR _ <br />W.O. Instructions: ,���l� � �� s'�EEL. S,ERY/Gil.0 ._ <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />IABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �r —�� �� Cost:$ <br />Charge Account Number: <br />Address: <br />I nvoice <br />ves <br />Charge Cost To (Name�: <br />nt:$ Date: <br />