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.._.. ...,...,.�...,,,,,..p...r-....... ---�----"---� ..-- .. <br />CITY OF EVERETT <br />DEPAFtTMENT OF PUf3LIC WORKS <br />UTILITY WORK ORDER <br />Date: � �`� � � WATER <br />❑ SEWER <br />❑ STORM <br />' 7313 <br />x �-zB-S <br />UTILITIES DIVISiON i y�,0. No. <br />+ / �� cct. No. � ' �� � � `� <br />' L <br />� ��,,L Compiaint No. <br />�,.v <br />,{� SERVICE ,� MAINTENANCE <br />O MAIN ' ❑ OPERATION <br />❑ PUMP �TATION ❑ REPAIR <br />❑ TRE'ATMENT ❑ CONST�UCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH E�ASIN <br />❑ DITCH <br />Location: �� � � V�� ��� <br />W.O. Instructions: �—OGG� T E S��vl G� '1"n +4 G fFG'T/1/" ^"'� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEUULING REQUESTED <br />ACTUAL (o N R S <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BEL.OW FOR LABOR l'IME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): I ,• � ���� -'D1 _Cost:$ <br />Charge Account Number: <br />Address: <br />In�oice No.: <br />iies <br />Charge Cost To (Name): <br />_Amount:5 <br />