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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: I ")q- q0 WATER <br />❑ SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />W.O. No <br />y 19-2-9-5 <br />X's 00 'po mT i mG <br />`I� SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />9047 <br />Acct. No. L75 } ) <br />Complaint No. <br />4 <br />MAINTENANCE <br />❑ <br />OPERATION <br />❑ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />Location:�3 <br />W.O.Instructions:� <br />FORn1 C;oe ?11PPA-< r; 1-y.40 s } 7- 09 /.} s <br />n!`TI I&i <br />co i IIVV11 LV <br />Labor (hours) Labor (hours) <br />Material (cost) Material (cost) <br />Equipment (cost) 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 />Completion (Date): __I — 2 Z —cD <br />Charge Account Number:_ <br />Address: —_ <br />Invoice No.: <br />1/85 <br />Cost:$ <br />Charge Cost To (Name) <br />mount:$ <br />a <br />