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.-. ,.. . . _ . <br />;i��: <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION . <br />5 <br />t�EQM�'� � ��, <br />�\ <br />UTILlTY WORK ORDER <br />Date: �'� � 5 S7 �i �NATER <br />❑ SEWER <br />❑ STOi�M <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />p DITCH <br />W.O. No. <br />7�15 <br />,� -34-a�-�- <br />Acct. No. �� � � " � � H <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />�� REPAIR <br />❑ CONSTRUCTION <br />Location: ���� ����✓��e— <br />W.O. Instructions: !Z ��/�N � �' D',t�-'iirf vT S�.?yi ay' �I L,�vSI F;l�'� _ ; <br />I <br />, <br />j � �%/ i C_ r�T/ i <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL Z f-f �2 S <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME�LIP�S�. ITEMIZE <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. �„�;ti��., <br />/r�7 p'}7 <br />i.OR1DIEflOf1 (�8i8�: � 'I " y fY � COSi:$ <br />Charge Account Number: <br />Adtlress: <br />Invoice No.: <br />1 /fl3 <br />Charge Cost To (Name): <br />mount:5 <br />e: <br />