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u <br />CITY O!= EVERETT <br />DEPARTMENT OF PJBLIC WORKS <br />� UTILITIES DIVISION <br />�"`���a� ;� <br />rf- � <br />UTILITY WORK ORDER I � ���' <br />Date: � i � � .O� WATER <br />❑ SEWER <br />❑ STORM <br />Location: �7 / I kj�d �T%}'l�� <br />p- SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATME�!T <br />❑ FESERVOIR <br />❑ VAtVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DIiCH <br />r.�= a833 <br />� �, �"�'— L � — �- <br />W.O. No. <br />Acct. No. � i 7 �� �� <br />Complaint No. <br />lZ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CO�!STRUCTION <br />W.O. Instructions: C/�A NGE' 4�.evicG F�On� Fl r�?-7'�� <br />ESTI MATE C <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Lsbor(hours) . <br />Maferial (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SIIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � " <br />:�� �` �:;. <br />Completion(Date�: Q�o-lS-c�2 Cost:S <br />Charge Account Number: <br />Address: <br />invoice No.: <br />1 /85 <br />Charge Cost To (Name): <br />mounL•$ <br />i p:. <br />! <br />