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m <br />j UTILITY WORK ORDER <br />Date: 5'�� - o y L�' WATE <br />' ❑ SEWE <br />❑ STOfi <br />.� • - _. <br />Location: _ <br />W.O. `Instr� <br />G '? -_.--... <br />CITY OF EVERETT , <br />DEPARTMENT OF PUBLIC WORKS �.. �� i J � <br />UTILITIE5 DIVISION <br />�_�l—%.�—�� W.O.No._ <br />r`�-=�' 7/�� Acct. No. CvL �� — l/ <br />;�ro TI������5 ���� <t.�,),_ Z��. � <br />C�"6on5plaVnt No:� ., � <br />� /�7rTe� �/��..�rFOv/\�\'�15.���1u;, ���1'1 1 <br />R C SERVICE f�9 MAINTENANCE <br />R ❑ MAIN ❑ OPERATION <br />M ❑ PUMP STATIOtJ ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />, � „ �. . , . <br />.. , . . <br />) � •• <br />.f-=-::�--��p-�rS' S�PL �lg"�jr�a ,. . ,. ,, <br />�:�_ -a--/n��� �_�debV /�', r,�� ,. . .. ,. <br />ESTIMA�ED <br />' Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />� SCHEDULING F�EQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS' ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDF ,� <br />Completion (Date): Cost:S ` <br />Charge Account Number: <br />Address _ <br />Charge Cost To (Name): <br />� <br />Invoice No.: Amount:S Date: <br />