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\\ :s <br />CIYY OF EVERETT <br />DEPARTM�NT' OF AUBLIC WOeiKS <br />UTII_IfIES �IVIStaN <br />UTILITY WORK ()RDER <br />Date: �^a9�o/ O�WATER <br />O SEWER <br />� STORM <br />Loca:ion: _Z <br />W.O. Instructions: <br />J� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />�! 3 I —? `1- 5 <br />I3 SERVICE <br />❑ MAIN <br />❑ PUMP STATIUN <br />❑ TREATMENT <br />❑ REuERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />i`;_ �i s � j <br />w.o. No. �7S // 9 <br />Acct No. <br />Complaint No. — <br />u MAINTENANCE <br />Cl OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />�� <br />Nc �sn�as�� <br />SCHEL`ULING REQUESTED <br />U;iE CHARGE ACCOUfvT NUMBER BE�OW FUR LABOR TIME SLIPS. ITEWIIZE <br />IP�BOR, EQUIPMENT, AND MATERIAL:i ON REVERSE SIDE. <br />Completion (Date): . Cost:$ <br />Charge Account Number. _Charge Cost To (PJaine): <br />Acldress: _ <br />Invoice No.:. __Amount� <br />e: <br />