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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: �� ' � — Q" WATER <br />' ❑ SEWER <br />.=i STOR�4 <br />Location: <br />t:: 4657 <br />UTILITIES DIVISIO� � � � � ! <br />` W.O. No. <br />` l�� S'�� 9 <br />i��, � ��6a ��,��t No. _ <br />�p ,��"�Y Complaint No. <br />/'�` � <br />p� �eRVICE / ❑ MAINTENANCE <br />❑ MAIN � ❑ OPERATION <br />C PUMP STATION u'Z- REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR <br />❑ VALVE <br />� MAN HOLE <br />❑ CATCH BASIN <br />❑ DI7'CH <br />W.O. Instructlons: R � . �I� � 1� S � ��b l � = <br />3-b-�7 5•T�K �.HQS �-9�8� S f�C �1�%R'g <br />�,/tfGc� Z i, L. 69f'(o2 Z �� <br />k. Mowe z „ <br />s i a �, Z �, <br />35�5 v " <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />2/3g z <br />35a5 z <br />ACTUAL <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELC�W FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ;� `, �: <br />Completion (Date): 3.-9 - 7 Cost:$ _ <br />Charge Account Number. <br />Charge Cost To (Neme►: <br />,, <br />�� <br />Address: " <br />Invoice No.: Amount:S Date: <br />1/83 <br />F� <br />