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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />�` \� UTILITIES DIVISION <br />— �� /� <br />�" �O � �ec/ �' � � S /� 9 v <br />/ <br />UTILITY WORK ORDER <br />Date: /V^/D `b' � � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />rJ io <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />N� 8934 <br />W.O. No. <br />Acct. No.L°��—���-- <br />Complaint No. <br />� /7e%e�.Pc�/ace /'�e.�T <br />❑ SERVICE � MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION ❑ REP,41R <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />�❑ DITCH <br />�"C. C �NS 17��Db 12 <br />r <br />� <br />ACTUAL <br />Labor(nours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDU�_ING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): .�� '`l�� � l Cost:� _ <br />Charge Account Number: <br />Address: <br />Invoice N <br />iias <br />Charge Cost To (Name): <br />nt:S <br />.� <br />�70 <br />Date: <br />