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I � `:`+'4 <br />1/85 <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />. . %�� (",J�';�� q � . <br />RDER �`"Z/8� �Z� I <br />llTILITY WORK O <br />Date: � % ` I .Cd WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O.Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />Z L <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH i <br />^;° 4825 <br />� f0 L li _ � <br />W.O. No. <br />Acct No. � � 5 � � �� <br />Complaint No. <br />C� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUtSTED <br />USE CHARGE ACCOUNT NUMBF_i� BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, F_QUIPMENT, AND MAiERIAL5 ON REVERSE SIDE. i •, -• <br />_.�--•�? l. . <br />Completion(Date): O�-09—�� Cost$ <br />/ /r � � <br />Charge Account Number: Ch�a'rge Cos�t To (Name): <br />Address: <br />Invoice <br />ount:$ <br />'f. <br />