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- ' - ^, "s CITY OF EVERETT <br /> _ __ DEPARTMENT OF PUBLIC WORKS '`" , $ 5� 4 <br /> • UTILITIES DIVISION <br /> W.O. No. <br /> _.. ._.. . . . - <br /> . :.�:.� : _...�: ...: ., �t�j Co Cp �int N� <br /> _. o �s /ry <br /> _ �_.,_..._.. ,._,. _.. . _.�_ � ��, m la' <br /> UTILITY WORK ORDER i/� � `�� ' <br /> . '�• <br /> � Date: !�-9-�9 ��NATER �SERVICE ❑ MAINTENANCE � <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION �REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> � CATCH BASIN <br /> ❑ DITCH <br /> Location: �o S/.3 � L�QQP�S S � <br /> W.O. Instructions: ���R � eGI�--CS / C(�/2 vJ Si o/�. <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBFR BELOW FOR IN�OR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> I Completion (Date): _Cost:$__ <br /> Charge Account Number: Charge Cost To (tv�me):_ <br /> Acdress: Z'p� <br /> Invoice No.: Amount:S Date: <br /> !85 . <br />