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r <br />, CITY OF EVERE7T <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVI810N <br />UTILITY WORK ORDER <br />Date: �� �T 9� WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />f Y SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />O TREATMENT <br />0 RESERVOIR <br />O VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />i�<, 7171 <br />�'y0 /��.Pl u-�- � <br />W.O. No. <br />Acct No. �Zr ��— <br />Complainf Na <br />❑ MAINTENANCE <br />❑ OPERATION <br />�' REPAIR <br />❑ CONSTRUCTION <br />W.O. Instructions: �Jl�� ! V � u � �V f' �+p � �u �?'��'} �'t — <br />L.__ 3t,- <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />� <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL S. EMIZE <br />LABOR, E�UIPMENT, ANL� MATERIALS ON REVERSE SIDE. ���� <br />Completion (Date}: �• i �'�? _Cost:$ <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ Date: <br />�ne --• --- � <br />