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��r�`-.' . - . <br />: :;� S-.Za-S <br />,,_ ; : ..:,.._... • <br />UTILITY.WORK ORDER <br />CITY' OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />� UTILITIES DIVISION <br />Date: ��^ �Z f' � � W,41'ER <br />SEV,�ER <br />❑ STORM <br />" �� <br />�O STF_D <br />1-z-90 <br />�SERVICE <br />❑ MAIN - <br />❑ PUMP •`�TATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAPJ HOLE <br />❑ CA7CH BASIN <br />❑ DI'iCH <br />. ..,. .._. ,.�-_. <br />. �� .l'r��... . �.�7.Z;rJ . <br />� <br />W.O.'No:. - ... <br />, .::. z:. <br />Acct No ��7T �� �/ <br />� Complaint No.�ts'`a �� .. `-.� - <br />Q MAINTENANCE " <br />❑ OPERATION <br />�REPAIR ? <br />CONSTRUCTION <br />Location: c'���� d�0[%�� {Qb� _ <br />• . ' • � <br />J , // � <br />�.�:' <br />��I� i% F. �u:LYJ -'� iI � ' �9� • ��/: :, JG �� �2i <br />ta1 t � t_J l. i J f/ <br />ESTIMATED <br />Labor (hours) . <br />� Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) . <br />Mzterial (cost) . <br />Equipment (cost) : <br />IJ � <br />SCHEDULING REQUESTED <br />'USE CHARGE ACCOUNT NUMBER BECOW FOR LABOR TIME SLIPS. ITEMIZE �:� <br />LABOR, �QUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />CompleCion'(Date): ����� ' � Cost:$ � ' <br />, . . .• . .. ,... . . .. . . . . ,._.. <br />Cti.arge Account Number. �� Charde Cost To (Name): K'F �bEL ���Gtrrr�rtvL- �' <br />Addresx . P�• Bo�( 4i� D .(�o�1;rI,GD vR< ZipC �C17.iD�' '' .. <br />Invoice No.: Amount:$ Date: <br />i�es <br />