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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: ���������� �% WATER <br />❑ SEWER <br />❑ STORM <br />T �a-�9-5 <br />' �o Pos�-� <br />���a ��/�'�� �/.�.v,� <br />�� <br />...rAl� <br />�ocation: <br />W.C. Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />� L Sf.PVI G-f <br />,� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH B4SIN <br />❑ DITCH <br />� <br />ACTUAL <br />;''" 9 0 3 3 <br />W.O. No. <br />Acct. No. l-7 r' I 1 y <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />D REPAIR <br />❑ CONSTRUCTION <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED - <br />USE CHARGE ACCOUNT NUMBER BELO!^� FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): _ �� �� Cost:� <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />�ios <br />Charge Cost To (Name): <br />mounL•x Date: <br />