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� <br />UTIL{TY WORK ORDER <br />Date: L�S� � � �'/ le] WATER <br />❑ SEWER <br />G STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING P,EQUESTED <br />CITY OF EVERE7T <br />DEPARTMEiVT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />F�-��-� <br />T c,�� i E� - 7��'c <br />��lo T�r�INI= <br />`� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAL <br />,,•1 sQoD <br />IQ: . <br />'.V.O. N o. ' <br />acct. ho. (� 7 s` � P 9 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />� REPAIR <br />O CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHAFiGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />�•: :: <br />Completion (Date): �� ��� Cost:� <br />Charge 4ccount Number. Charge Co§t To (Name): "� <br />Address _ ' Z�p <br />Invoice No.: Amount•S <br />• Date: <br />� l4r <br />