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. <br /> ` . ...... . . ,,.,-.,, , . . . .. .. ... . . . . . ... . . ,. . <br /> �-,..-�- <br /> iCITY OF EVERETT <br /> � -C z'� � DEP:IRTMENT OF PUBLIC WORKS i.+f:. " $ � �] <br /> i <br /> UTILITIES DIVISION � <br /> G I `�'2Sr " =! / <br /> W.O:No.. : <br /> Acct. No. Cn[n y `✓/� <br /> ���r�goJa '9Z,C� � <br /> UTIUTY WORK ORDER ��'�bfil��et�°�� �— <br /> ��TJe%,e .�c�k�F��^T' <br /> Date: -5 �3 -� !� WATER ❑ SERVICE - <br /> �" MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> :/:L Bri7 <br /> �49cTrF_ P,.=PG1i:^r.: <br /> ❑ MAN HOLE _. ± -�;� <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: v2U2,5� /tJ CG Si.vo fi a� r'�S�T S'o� o� �/u.., d� S C /4 ZE-�• <br /> WA. Instructions: //� .5.�' �=ue r�7T ��j�// (� �/ �� s � /�/GT �s �} z9 zQ- �f <br /> - /U 3 0 £s .C' v e iqree,v GtJa �/ � z�� � t .y <br /> M � <br /> �csT.=� iz - �a-E� •�� <br /> ,� L S G_� <br /> 'v ���� � p J <br /> � <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cast) : Equipment (cost) : - <br /> SCHEDULING REQUESTED . <br /> -� _ <br /> USE CHARGE ACCOUNT NUMBER B[LOW FOR LABOR.TIME SLIP�. IT�MIZE'.,� ' � � <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE DE <br /> �� ��"Z 1�..�.�=ti�.-� <br /> ,Completiun (Date): � ��;t:g ��,; ', <br /> , . , - ... <br /> _.�. , . r . : <br /> .. .. • ., : _. s 1 � x .. <br /> Cfiarge Account tvumber -� Charge Gost To(Name):_ - - - ' <br /> RI <br /> .. 1:: . .... . ..r. . . .. - .. . . <br /> . ' . . � �': ..�.. _ . - � <br /> Addre��: _.�. ' , . __ . . . .. „ � ,4 . <br /> .. - ZiP " <br /> Invoice No.: Amount:� � ! Date <br /> ties . <br />