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,e . . . . <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />" T 19- z�-5 <br />�a �4�.P =fl�Y PosTE� <br />UTILITY WORK ORDER <br />Date: �� � � q� `� WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: � <br />� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ol�»•�/»v <br />� y ua.� � . , ... • <br />.; . <br />hl° � 9042 <br />W.O. No. <br />Accc No. L7 T I> y <br />Complai�t No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CQNSTRUCTION <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Comp�etion (Date): ��31— qb Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />+ias <br />Charge Cost To (Name): <br />ount:S _Date: <br />