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� <br />CITY OF EVERETT <br />-• �' DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: L�13 s� � WATER <br />❑ SEWER <br />❑ STORM <br />� <br />O <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />L�J <br />/Uo �„< � i ,�1C� <br />SERVICE <br />MAIN <br />PUMP STATION <br />TREATMENT <br />RESERVOIR <br />VALVE <br />MAN HOLE <br />CATCH BASIN <br />DITCH <br />'I'b_' `;:�.535 <br />W.O. No.. <br />�s�►� <br />P.cct No. L y' � <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />.L� REPAIR <br />❑ CONSTRUCTION <br />Location: ��� ����� �� <br />W.O. Instructions: ��&'� ��a �� �� ��K� '�i-��� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <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 />Compietion(Date): f rl��y Cost:S <br />>Charge Account Number. Charge Cost To (Name): <br />_ . _ ��. <br />Address: .`ZiP.' . <br />Invoice No.: <br />nt:S Date: <br />