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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />T 19- 2�-5 <br />�a I��P=a��r PosT� <br />UTILITY WORK ORDER <br />Date: ! %�" q� �J WATER <br />❑ SEWER <br />❑ STORM <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />o �iTCH <br />y.w.• ' . .. • <br />�� , <br />RI° � 9042 <br />� • ►. <br />Acct No. L� T�� y <br />Complaint No. <br />(d� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONS'fRUCTION <br />� 7!a <br />Location: J7oz�77c�l��i}����L�9�1�/���•�/���t ►7i�/fl.l{�'iY�EI/JE�id� _ <br />W.O.Instructions: ,��� F�IP �-c��y5�cl3S <br />� <br />ESTIMATED <br />Laber (hours) . <br />Material (cost) . <br />Equipment (coet) : <br />ACTUAL <br />Labor (hours) <br />Materiai (cost) <br />Equipme�d (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS O�! REVERSE SIDE. <br />Completion (Date): l�� �— 9D __Cost:3 <br />Charc�e Account Number: <br />Address: <br />Invoice No.: <br />vas <br />Charge Cost To (Name): <br />nt: <br />