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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />"� 2374 <br />UTILITY WORK ORDER <br />�ete: 3 - a s-- � "' �WATER <br />❑ SEWER <br />❑ STORM <br />—r— �_, - z F, - :� <br />UTILITIES DIVISION � <br />��U (�IS4 W.O. Na <br />�X� � — <br />�cct Na <br />�' �,,! � Complai,qt ha _�—� <br />O�SERVECE � ❑ MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION �REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ GATCH BASIN <br />❑ DITCH <br />��et�o�: �� � Ly.-� i', c � . <br />W.O. Instructions: 1��/'�fi/'�' S_/N/� d� 6"-� 3�y ��1�51 /c St�l%�Cc <br />�.�J S(�9�-�cl .� c. c o.v ���e io.�- <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS�TEMI�F� <br />LA80R, F�UIPMENT, AND MATERIALS ON REVERSE SIDE. ..� �� .v.:;� <br />Completion �Date): � � �D ' � � Cost:S <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />iiss <br />Charge Cost To (Name�: <br />