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ro5t�� �- �� <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� 3i-z9-� <br />UTILITY WORK ORDER <br />Date: �� �8��/ 13' WATER <br />� SEWER <br />❑ STOR�yi <br />Location: 5��� <br />W.O. Instruciions: � <br />ESTIMATED <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />o�d <br />C3�SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�,� ����d <br />P:° 9024 <br />W.O. No. <br />Acct No. la %S /� 9� <br />Complaint No. <br />i <br />❑ MAINTENANCE <br />❑ OPERATION <br />C�REPAIR <br />C <br />❑ CONSTRUCTION <br />U <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cosQ : <br />SCHEDULING NEQUESTED <br />USE CHARGE ACCOUNT NUMP�R BELUW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, E�UIFMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion(Date): �� �� �% Cost:S <br />Charge Account Number. Charge Cost To (Name�: <br />Address: <br />Invoice No.: Amount:S <br />,res <br />ate: <br />