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<br />." � `�°• 'CITYOF EVERETT` � � `
<br />.: 1 I �z�� ..DEPARTMENT OF�PUBLIC WORKS ' �•, f�� ` y a R S6
<br />, , , ...,
<br />: ..�: L � •_I .. �� - . . . . . � . ' . ,. -. . ..
<br />' ' � . ' UTIUTIES DIVISION �>::'"` ; ' ` ' . �
<br />; ' • : ; -. ,: . :' �'
<br />- W O No
<br />. K14`iX�,3 Z.�� ' Acct No � �O ��� % / 9.
<br />. ' �o ':ST�'.� : . . E=2� z��F � r ` C`\�� F�ToaE �Z�t�.� ' ': ``
<br />�° . UTIUTY WORK ORDER ' . �-�e TQ� ,,R� /o«•. � �
<br />� � ,��•z� �.�� A `1
<br />'S �a . $ �/ .. �' WqTER '❑ . SERVICE'::. ' CS MAINTENANCE: :;
<br />� Date •
<br />`:-. . _ .,
<br />. . ❑ SEWER ❑ MAIN :..- ❑ OPERATION . ;.;.:.�
<br />❑ STORM ❑ PUMP STATION `❑ REPAIR ' '
<br />, ..: .. _ . . ;
<br />;�� ..-... .'., . ❑ TREATMENT ❑ CONSTRUCTION.; •_.": . .:
<br />❑ RESERVOIR �
<br />. , �.: :,
<br />❑ VALVE :.
<br />' ❑ MAN HOLE
<br />_.. ... ❑ CATCH BASIN _ , . .
<br />. ❑ DITCH
<br />Location: %aZ�� /�J/B��C� �is�dm',�EJf�'��Ave,cN K i3-Z8- �
<br />W.O.Instructions: /�0� �✓�/'�I�E#/�Ci /�i�s�//Q� f� �3-Z8—�-4
<br />� � 9�� � � " ,�'ri�°'r9�a-T Q �3 -Z�-�
<br />9��a � � � � Q � 3 -z�- �+
<br />� - � yef� " " � �'/�iroj+h�c. � i 3 - zs-.� ..
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<br />�%�/ tVer reen�t
<br />ri� �/ �/ �'-1C (3�-2��/ ;' .:
<br />�oS � � a n,'a
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<br />• -�::�C �����.R`TcPi_PicE� � .. . . � .�.:.'�.. � :.�_�. ,�� �. �� .:
<br />;: : :.:�5, ,2z-89 .:.
<br />ESTIMATED � ACTUAL � •
<br />' : Labor (hou�s) .` Labor (hours) . _ . �
<br />, ' ' •.:
<br />. _ _
<br />�"sie.�si �..ost) Mate . �� o t .
<br />�' SCH
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<br />' a• a�C
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<br />:- ��A
<br />�
<br />na.c s)
<br />t (cost) •; Equipment (coe ,
<br />.: .,.
<br />y.:.: .�: .. � . .�_� . .. .:�<.- _ .. . - .
<br />-...�,. - .. .: ,_. . ..... .
<br />,jiEQUESTED ' ' '� � "
<br />u�,>� ., � -
<br />'f.� -�.\". .6.. .L7' rt
<br />aE ACCOUNT NUMBER BELOW FOR.LABOp• �TIME SLI S. ITEMI E'p
<br />I�IID�ACAIT AAlil \AATCDIAI�C�TIJ.DCVCOCC CIAC��'. .. _. � .�. �.\� •
<br />:At�-.h�-.�
<br />Sw -
<br />'e No.; . �
<br />- r -,�.: � ._r,_
<br />ount:$ Date:
<br />a
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