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r s.:� � �;�r� `•� <br />.:�. .. <br />1. <br />a <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK Ol4DER <br />Date: ��� �'fi��� '�WATER <br />p SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />ES7IMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />UTILITIES DIVI�ION <br />a i 3 -zs-y <br />��sreD - �/B `� <br />No � �,N��s <br />�SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAL <br />��sq <br />1 .. t.71 <br />1���n .r . . .. <br />W.O. No. <br />Acct. No. L� S— � � �� <br />Cumplaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />1C�REPAIR <br />U CONSTRUCTION <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING.REQUESTED <br />USE CHARGE ACCOUNT NUMBER B�LOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPPAENT, AND MATERIALS ON REVERSE SIDE. <br />Compl'etion (Date): Cost:$ <br />1! . <br />'� Charge`Account Number. Charge Cost To (Name): _ <br />"�.. Y , � . . . .. . <br />Address _ ' � _ Zip:. <br />' � ��lnvoice No.: Amount:5_ Date: <br />