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� CITY OF EVERETT <br />' DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />. . �. i4 -z � -5 <br />�oST�a = 7/cA9 <br />UTILITY W�"JRK ORDER <br />Date �"��' d'�% ,� WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />,� SERVICE <br />❑ MAIN <br />C PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ iv1AN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />w.0. Instructions: _�e.f�lL/l� .S��j� <br />ESTIMATED <br />Labor (hours) . _ <br />Material (cost) _ <br />Equipment;(cost) : _ <br />ACTUAL <br />_�3s� <br />r� �.;,� <br />i � . .. i i'J'... <br />W.O. No. . <br />P.cct.No. �i7S-�, y :. _ <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION � <br />� REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />_�HEDULING REQUESTED � . <br />' ;;�i <br />+ +:x <br />r� <br />� "�: <br />'�;.. <br />�.1�C <br />j,..� <br />. � <br />HARGE.'ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS.�ITEMIZE `'•:' �`�" ��"'"' �`•�' '-"" ° <br />3_, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br />:� , � , <br />�.'�,�:'� �, , ,:. . � - - - , ' <br />:. ' : .. <br />e�tion (Date): - ��FY�9 , . Cost:$ ' . <br />� <br />�'�+�r �s�.trtlr � r . .. .. . . ;;.� - •., � : -. . :� .. • . . •:i , � ' �v ,,: <br />��ccount Number. � Charge'Cost To (Name) ; <br />��t tti," _ <br />�u,7.'-: � > - <br />�s: �i, i, � 5• ., <br />� - _ Zip <br />�.. . . ' . . . . ' .�. .".. <br />-No Amount:S Date <br />0 <br />