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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISI N <br />`. �� <br />Ji'' <br />�" � �� � � �� <br />UTILITY WORK ORDER <br />Date: `� �� z S� l� WATER <br />❑ SEWER <br />❑ STORM <br />F3' SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />"�_ d811 <br />✓ S—z �- s <br />W.O. No. <br />Acct No. L� �' � � � <br />Complaint No. <br />f�MAINTENANCE <br />O OPERATION <br />❑ REPAIR <br />O G:JNSTRUCTION <br />location: ��S(i.� ,e� L2� (�—GL.iq y <br />W.O.Instructions %���I�r:! cr�=�/l�: �,r;.rr J 111� 7� ii�%7.f' <br />ESTIMATED <br />labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED <br />Labor(hours) . <br />Materiel (cos4) . <br />Equipment (cost) : <br />USE CHARGE ACGOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Compietion (Dale): S�'�y% Cost:$ <br />Charge Account Number. <br />Address: <br />Invoice Nc.: <br />ves <br />Charge Cost To (Name): <br />