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V�� <br />CITY OF EVERETT <br />`� ���'� DEPARTMENT OF PUBLIC WORKS <br />UTILITIES OIVISION <br />/ J��,�� � '� � , <br />1 b�,�e �i ��� <br />� ' <br />UTILITY WORK ORDER <br />Date: ' � �� �' WATER <br />O SEWER <br />❑ STORM <br />�d' SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />O VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />�i� 49i8 <br />j� �.1(' -z� 9 - _5 <br />W.O. No. <br />,,� <br />Acc4 No. � 7 � — <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPER.4TIOIJ <br />,[7� REPAIR <br />O CONSTRUCTION <br />❑ DITCH <br />Location: _ 2� �� �G�Bv��"��— <br />�: 1"�� iZ % I S.�G,PY) Lf 'T�)� yls�l l` �!� Cc: ✓T�')}t��=,P <br />W.O.Instructions: h � _ <br />1NL 1! �" '-'' �— <br />D � �' y'7 � D� �'� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) • <br />Material (cost) • <br />Equ�pment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. i fEMIZE <br />LABOR, EQUIPMENT, HND MATERIALS ON REVERSE SIDE. ��,�� �, <br />�' Z �� �-J / COSC$ <br />Completion (Date): � j", �y 5 P �� � �., = �'�' <br />Charge Account Number: _---Charge Cost T(Name): �� <br />Address: <br />� v, g o��� cl � 9 � ��r �.� zip:. <br />Invoice <br />1/B5 <br />nt:$ <br />� <br />