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� �r�- . - ., . ,.7r <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION � <br />�1 ��.,��aq '� � <br />/N� �il f <br />� ���5 <br />UTILITY WORK ORDER <br />Oate: �� � � ��7 � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />�]/ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />n n�rru <br />N_ 468a <br />� /3-� s-� <br />W.O. No. <br />Acct No. 4'7 5�� y <br />Complaint No. <br />�' MAINTENANCE <br />O OPERATIOiJ <br />❑ FEPAIR <br />O CONSTRUCTION <br />W.O. Instructions: �''� �� S F�l�� J d��i�-tcr_. f �. n r T. .�fr. �,� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL �f /i �S <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): �' 3d — 8 7 Cost:$ <br />Charge Account Number. <br />Address: <br />Invoice No.:. <br />,ias <br />Charge Cost To (Name): <br />u <br />� <br />