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, ;•;� •;'r.'s' ':a. �`:=:..- .:'CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />. � . , ., , <br />UTILITY WORK ORDER <br />Date: 3- 1 S� �'�� ❑ WATER <br />� ❑ SEWER <br />� ❑ STORM <br />i <br />� <br />�. _ ---� <br />� <br />Loc tion: E' ��� /�G �. � ��• <br />W.O. . r f �- i <br />, - ,, ;, �� r-; � �, .� <br />r <br />' j '� �t � • � i- I -< i' �� <br />� <br />m <br />? 1�JI <br />w.o.No. G-s{S�ii9 <br />Acct No. <br />Complaint No. <br />�'. SERVICE ❑ MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION B REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />. tl='7 I�I��.n,.irP� _ <br />,. <br />� -..��J <br />� <br />- _ ...._ i -� �- <br />ESTIMATED ACTUAL <br />' Labor (hours) � � <br />' Labor(hours) . ' <br />' Material (cost) Material (cost) . <br />, Equipment (cosq : Equipment (cost� : <br />{ SCHEDULING REDUESTED <br />; USE CHARGE ACCOUNT NUMBER BELUW FOR LABOR TIME SLIPS. ITEMIZE <br />� LABOR, EQUIPMENT. AND MATERIALS ON REVERSE SIDE. <br />� _ Completion (Date�: sJ ��� "�� CosL•5 <br />� - Charge Account Number. Charge Cost To (Name�: <br />- Address: - Zip: �— <br />� Invoice No.: Amount:3 Date: �-- <br />, �ias ..,,... _........_,,-.r-•-,--., <br />.--, .....,, . -^--- .. . . .... � .... .... .. .. . .. .. . . . ...... <br />� <br />� <br />H <br />f: <br />b7 <br />H F- <br />y �. <br />H �- <br />� � <br />�� <br />c <br />� :, <br />�� <br />'Q s <br />� c: <br />�, . <br />�c <br />0 <br />�� <br />�- . . <br />�' <br />c : <br />g' <br />�: <br />0 <br />