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� .. ...ti::-.!^'' <br />CITY OF EVERETT <br />�EPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: �—��y � WATER <br />SEWER <br />❑ STORM <br />UTILITlES DIVISION <br />/� � Z - z� - �j' <br />�1�o s � �D - �7�a`� <br />1�/a T�t 4� r��; <br />� S:-RVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />❑ DITCH <br />N° a3as <br />W.O. No. <br />ncct No. l. 7 S� � 1�I <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />1¢� REPAIR <br />�❑ CONSTRUCTION <br />Location: • ' °' - <br />W.O.Instructions �f�?'F'�j�� �u°�`� �'���� �pT�r�� <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 />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME-SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE . <br />�. <br />. . . .. . � .-�, r,. . C ' <br />Completion (Date): f ��g Cost � ; <br />r „ <br />� Charge Account Nuinber: Charge Cost To�(Name) <br />. � . 1 . .tiAr � . . . . � - . . <br />: ... .- . ... ,,..,_ • . - . <br />✓°. - Zip: <br />Address: - <br />Invoice No.: Amount:S ` ' Date: <br />