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._.�....._,.,._......_..... ....n..:-.�a....�...��...u.,._ ....-...�..�w....-.....+___ r....,., . <br />. ._ _..� ..er...:w��-.+r�...�..�-�....� .. - <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />� <br />UTILITY WORK ORDER <br />Date: 3' `�- 8�y C9'�WATER <br />❑ SEWER <br />❑ STORM <br />UTILlTIES DIVISION <br />,�r'�/?�G � <br />❑ SERVICE <br />13� MAIN <br />❑ PUMP STATION <br />O TREATMIENT <br />O RESERVOIR ' <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />location: _�_ . - /�� /l��L i c B <br />i <br />W.O. Instructions: �r �A/2 S D�-% �� l9�� <br />,�l.rc.J oVl fa % �'o✓�� �.Jf <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED <br />ACTUAL <br />7397 <br />77 � � <br />Acct No. G 73 ' //f <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />C� REPAIR <br />❑ CONSTRUCTION <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): 3 — 7'�� Cost$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: Zip: <br />Invoice No.: Amount:$ Date: <br />