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d'1P <br />t ies <br />�: <br />CITY OF EVERETT <br />�' r I� DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION I� <br />c �P� � r'�� ,c: `� <br />�I)�� � ��/[, 11 �� <br />UTILITY WORK ORDER <br />Date: % �7 ,�G WATER <br />❑ SEWEF <br />❑ STORM <br />Location: <br />W.O.Instructions: ��'i�����? <br />� <br />C c,+-Ti?r�G%c:.t' <br />�C� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ CH <br />� �'' % i' <br />` . yt <br />� <br />N= 463t <br />ii lJ-?'1- `�• <br />�� �t-��'� <br />W.O. No. c, <br />Acct No. �! 5 I � �_ � ,�.. <br />Complaint No. ,/l�i <br />❑ MAINTSiJANC6_ ,\� <br />� <br />❑ OPERASTION' i � `'`` � ( ` (�, <br />S�:J�11'` `�F ' �� <br />!�y RFPAII-i, �> _ � � �..', � �I <br />❑ CONSTRUCTION <br />` � •��, <br />C <br />: �� r'' <br />1✓ <br />— �,� ,� s v_�, r. z_ f <br />N � ?o', ACTUAL ', ,v�.i 1 tl•�,/ <br />E3TIMATED : >.,�: � • ^ J, <br />Labor (hours) � � � ' � Lab�r,�hours) �: — "' � ' ° � " <br />�aterial (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />Ma!erial (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS E1�11LE <br />LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. ���� <br />.,. ,,.. � <br />Completion (Date): —�� �t.� �--Cost:$ <br />Charge Account Number: <br />ChargeCostTo(Name): �%��►$� V �`ys�� �"' <br />Address: ���' ijCX'iS�i P,Li1GK DIN.11or•A ., i! A SH Z�P�-������v <br />Invoice No.: <br />mount:� <br />�`r1F'1 =ar��"i���::,' � -.--, - � � � � ..,; . , <br />� ._.._, .._�, <br />.�.___. _.._._._,._..�...ss .,uF'".'..... .. „_;:�-. , -, r�-, - , _� <br />