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�. :.,. '. <br />q . . . . <br />CITY OF EVERETT <br />DEPARTMENT OF F .IC WORKS <br />UTILITIES DIL.SION <br />' ��r,L 19- z�-5 <br />�"ia �'t1.P.�R�`l POSj'£� <br />UTILITY WORK ORDER <br />Date: � � �" � � `� WATER <br />❑ SEWER <br />❑ STORM <br />Location: � <br />W.O. Instructions: <br />15 <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />�� <br />� SERVICE <br />p MAIN <br />❑ PUMP STATION <br />f7 TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ PnAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />o/�»��/���t <br />yu..o+" � � r. ... • <br />l • <br />hi° � 9042 <br />W.O. No. <br />Acct No. L � T i) y <br />Complaint No. <br />(� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />� Equipment (cost) : <br />SCiiEDULING REQUESTED <br />11SE CHAFiGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />�ABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): ��� l— �j �7 Cost:$ <br />Charge Account N�mbar: Charge Cost To (Name): <br />Address: <br />Invoice <br />i ies <br />iiE <br />