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� - ;::0-2`�-S <br />. CITY OF EVERE7T '' -;' �°��, i �: t.s� r:�t: r°� F;c7 <br />DEPARTMENT OF PUBLIC WORKS � .- "O " � <br />UTlLITY WORK ORDER <br />Date: o?`��"rB �WATER <br />❑ SEWER <br />O STORM <br />UTILITIES UIVISION <br />Q' SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />� <br />Location: J.> > / C�T/t"/ //�U/(Y' \ <br />W.O?// �J ��� <br />Instructions C��/%i'e ,(�h°T�P �/.'� <br />� �: <br />ESTIMP,TED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHE[1'!!_:NG REQUESTED <br />� <br />W.O. No. _ <br />r.00c. No. 7S - �� 9 <br />Complaint No. <br />C3 IsAiP:TENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />��� <br />0 �ilJ• p i 7r� (J'rr.v /�/� • <br />—�— —' <br />ACTUAL � /�le S <br />La�ur (liours) <br />Material (cost) <br />Equipment (cost) <br />USE C�HARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZF <br />LABUN, EQUIPMENT, AND MATERIALS ON ;?CVERSE SIDE. <br />Completion (Date): �2 - � 3 � � � Cost:$ — <br />Charge Account Number: Charge Cost To (Name): <br />Address: _ <br />Invoice <br />_AmounC$__ <br />; <br />� <br />� <br />