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r�.. ., <br />x73r. -. �..;; . - CITY OF EVERETT <br />{.J��./rti.•�A:wl•. ...�..'.��..s � . . '.... • <br />� DEPARTMENT OF PUBLIC WORKS <br />F1?I.�. '`' _ . . ' -- _ — <br />;,;"""' - - UTILITIES DIVISION <br />_.: > ,. '�.;.,, . .-, . . .. .: . . . <br />. , ._ , <br />!`" , . ...- —. - -- , _,._ . .. _ _ _. .. _ _ _ . <br />,� , C � . _ �_ _� _ _ _ _ __ .. nyp ��N�3!�� <br />UTILITY WORK ORDER <br />Date: � �$ ` PJ�WATER <br />❑ SEWER <br />❑ STORM <br />� <br />Location: <br />W.O. Instr� <br />L�SER`JICE <br />L <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />n rnrr.H <br />; :.. .*� <br />. � �.:.irpr..f?.e <br />� P CF�h� <br />r�° . g003::,,:.. <br />" : ,-1 � . <br />W.O. Na . . . <br />Acct No. � 7S /� 9 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />C�REPAIR <br />❑ CONSTRUCTION <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cosi) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIAL.S ON REVERSE SIDE. <br />Completion (Date): _ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />1/85 <br />Charge Cost To (Name): <br />� <br />mount:S Date: <br />