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„� ;�- zg- 5� <br />�-�/�-•, u-, Fr�c�t��uG <br />CITY OF EVERETT <br />DCPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: G �' ''�{ � WATER �SERVICE <br />❑ SEWER ❑ MAIN <br />❑ STORM ❑ PUMP STATION <br />Location: <br />VJ.O. In�tructions: <br />❑ TREATMENT <br />� RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />I 1- v 3 ��� �,�,,v� �� �- <br />R� I�r n ri” � �.�',< G i.?n ��.� /; ��c <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />,.: , � . <br />r: ,>..:. � `� a•; , �, : . . <br />�. �7,,., <br />:.. ., .. <br />W.O. No. <br />Acct. No. L 7� I�� <br />Complaint No. <br />C� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUI:TION <br />GF S �flb J/��1L <br />' Laoor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED __ _ <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIP�4ENT, AND MATERIAI.S ON REVERSE SIDE. , <br />Completion (Date): _ ������ Cost:$ <br />Charge Account Number. _Charge Cost To (Name): _ <br />Address: _ <br />Invoice No.: <br />/B5 <br />_Zip: <br />_AmounL$_ Date: <br />