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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />S 30- 29- � <br />UTILITY WORK ORDER <br />Date: �" ` 3� P�! ,� WATER <br />❑ SEWER <br />❑ STORM <br />L <br />�� / <br />�c <br />�� 0 �� <br />Qc - �y <br />�2 <br />UTILITIES DIVISION <br />-- - � <br />�PPL - <br />3/4 �� METER�i) , <br />_---- . , <br />E7� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HULE <br />❑ CATCH BASIN <br />❑ DITCH <br />�:� �:?755 <br />`'�.U. No. <br />A���No. ���-,�y — <br />Complaint �lo. __ <br />� MAINTENANCE <br />❑ OPERATION <br />CI REPAIR <br />U CONSTRUCTION <br />7A"rr� <br />�•1� �� 5�f2JIC� <br />INTL L'7S� / <br />� ^� ET�p I <br />`.'-31- g 3 <br />Location: _ �R I t1 / 1 o�r �� � L <br />W.O. Instructions: _ G l�A /l -� C�;r'/. �� � T i n-s' Tr / i7T.� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACl'UAL <br />Lab�r (hours) . _ <br />Mate•is� (cost) . _ <br />Equipment (cost) : _ <br />USE CHARGE ACCOUNT NUMBER BEI.OW F�1R LABOR TIME SLIPS. ITEMIZE <br />LABOR, E�UIPMENT, AND MATERIAL°� ON Ri=VERSE SIDE. <br />Completion(Date): �'3_, 1!k`'�' _Cost:$ <br />Charge Account Number: _Charge Cost To (Name): <br />Address: _ <br />Invoice No.: <br />r. �ies <br />mount:$ <br />