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R"• <br />_ CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORD1=R <br />Date: � '� S � � � WATER <br />❑ SEWER <br />❑ iTORM <br />Location: <br />F3 SERVI^vE <br />❑ MAIN <br />❑ PUMP STATION <br />� TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />W.O.Instructions: ,Q� PIA�� h�%=l���z r�.bY� SZ•,�' <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />f Equipment (cost) : <br />1 /85 <br />t�� asa6 <br />„�., i,, .-_-�' <br />W.O. No. <br />Acct No. I 7 n� ��� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />p' REPAIR <br />o CONSTRUCTION <br />AC7UAL !� / / /� <br />Labor (hours) <br />Material (cost) <br />I Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): In�� � �U�7 Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />Charge Cost To (Nam2): <br />nt:$ <br />�'h <br />