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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: Z I� k��i � y1/ATER <br />❑ SEWER <br />❑ STORM <br />= � 3s-a9-� <br />t2/8�j No �sri1JG <br />RS SERVICE <br />I❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />� . �>d\ ��.,.'.. t t5'"{�M �. . V, . . . . <br />�A KSf�q-•y":(`ii- <br />i�;; S638 <br />W.O. No. <br />Acct No. - i,'7 S- 1�� <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Location: 2 7 1 7 /!/ /Ii C',�� (.T J/jLy !J <br />W.O. Instructions: _ t I��/ k� <�,P1 r�,� Y r� �, ��,,sr» �. � r <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. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): _ ��'l��� Cost:$ <br />Charge Account Number. <br />Charge Cost To (Name): <br />Address: Z'p. <br />� . <br />Invoice No.: Amount:$ Dafe: <br />Iqt . <br />