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GTY OF EVERETT ::��� t����'�'�— C <br />. � � ���, 1�2G <br />DEPARTMENT OF PUBLIC WORKS , - <br />UTILITY WORK ORDER <br />Date: I �' .1 �" )��" � WATER <br />❑ SEWER <br />❑ STORM <br />UTILITl�S DIVI,�iION <br />� SERVICE <br />❑ v1AIN <br />❑ PUMP STATION <br />O TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />❑ DITCH <br />W.O. No. <br />Acct. No. (- � S 11 <br />Complaint No. <br />� p� MAINTENANCE <br />❑ OPERATION <br />❑ RFPAIR <br />O CONSTRUCTION <br />Location: � �Ab � � __ <br />1A�.0. Instructions: � I lla-Y/. G S 1.tYt ��� 1� 1 N'T- '� �%f/�TG-.t� <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) <br />Maierial (cost) <br />Equipment (cost) <br />US� CHARGE ACCOUNT NUMBER BELUW FOR LABOR TIME SLIPS. I. cldlZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completi�n (Dzte): _ � CostS — <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice N <br />�ies <br />mounl:S <br />