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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UT IITIES DIVISION <br />�% (' <br />`�",,✓ ��e� ��-�-� j � � <br />UTILITY WORK ORDER <br />Date: ( �" � �� � jl� WATER <br />❑ SEWER <br />❑ STORM <br />Location: � 1 ! L <br />W.O. In:tructions: 'Y • �N � h'S {��, �cs_ <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Epuipment (cost) <br />� <br />■ <br />■ <br />❑ <br />❑ <br />❑ <br />O <br />❑ <br />❑ <br />SERVICE <br />MAIN <br />PUMP STATION <br />TREATMENT <br />RESERVOIR <br />VALVE <br />MAN HOLE <br />CATCH BASIN <br />DITCH <br />ACTUAL <br />7;:� � <br />C-���a`�- a� -� <br />W.O. No. <br />AcCt No. y % 5 � � �� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />� REPAIR <br />O CONSTRUCTION <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT.NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUI?MENT, AND MATERIALS ON REVERSE SIDE. �-��'��.r� <br />Completion (Date): _,�1� �O -$'7 Cosi:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />iies <br />Charge Cost To (Name): <br />nt:� <br />