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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />S I`— ! S' y UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: '�- � S " � �/ � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />oV.O. Instructions: <br />�J isil/� �,' <br />ESTIMATED <br />Labor (hours) . _ <br />Material (cosq , _ <br />Equipment (cost) ; _ <br />�- " <br />�rt� /r=r�'�C C � �. <br />. <br />��� SEf;✓ICE <br />O MAIN <br />O PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />! . � r>; <br />9 <br />.._. ''?l1�i <br />V�'.O. No. <br />Acct. No. � � � � � � <br />Complaint No. <br />�C� MAINTENANi;E <br />❑ OPERATION. <br />❑ REPAIR <br />❑ CONSTRUCTIGN <br />u <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIFS. Il'EMIZ[ <br />LABOF, EOUIPMENT, A�1D MATERIALS ON REVERSE SIDE. <br />Completion (Date): _ a�! ���/ Cost$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />�es <br />Charge Cost To (Name): <br />ip: _ <br />