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CITY OF EVERETT <br />�EPARTMENT OF PUBLIC WORKS� <br />� <br />UTILITY WORK OR��R <br />Date: 2� � WATER <br />❑ SEWER <br />❑ STORM <br />UTILITIES DIVISI <br />� � �_� <br />;� �. z/ <br />O SERVICE <br />1E� MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />:. 7449 <br />�W.O. No. <br />A��� No. �� 3. � � y <br />Complaint No. .T <br />❑ ♦ MAINTENANCE �'^' <br />� s9 <br />❑ OPERATION <br />� REPAIR <br />❑ CONSTRUCTION <br />Location: ►��16-_ ►T ��/�l��f/L"' J � <br />�. � -� <br />W.O. Instructions: h'����^ �� 2 ��l ta S I� �. i: )�' Y .� 1 l r' !�% l'_: D <br />/ji�sS� -s�r�.�'Ki� <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />`�. ` �-,_ <br />USE CNARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL S. IT�MIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �_.�.��,�; <br />Completion (Date):��8/'t�Cost:$ <br />Charge Account Number. �-�T��,T_Charge Cost To (Name): <br />Acidress: <br />Im�oice N <br />�i� <br />nt:$ <br />� •� . <br />� <br />� <br />