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UTILlTY WORK ORDER <br />Date: _ 5- 9� ,P � M yyqTER <br />C <br />❑ SEWER <br />O STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) , <br />Material (cost) . <br />Equipment (cost) : <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />.1 G�%'��—� <br />fa<<�=-� - �/�y <br />iVo Tul�,4�� <br />�SERVICE <br />MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�.,��r_-�; � E�_ <br />—�� / r'� ��rv!/A/P <br />�r� <br />-*/e�-`^�f� , z� 3 <br />� 3 �6 ) <br />�,,. , , . .. <br />W.O. No. <br />Acct. No. _L % T' ��� �f <br />Complaint No. _ <br />MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <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, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �Zo�q Cost:$ <br />Charge Account Number. <br />1Address: <br />Invoice N <br />M �45 <br />Charge Cost To (Name): <br />unLS Date: <br />