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J.-_ -,-;- <br />CITY OF EVERETT <br />DFPARTMENT OF PU�LIC WORKS <br />UTILITY WORK ORDER <br />Date: �'� Z"-� �l �NA.TER <br />O SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />� <br />i%" <br />�;,e, <br />f��`,u. <br />G � ��� .��� <br />�d <br />� <br />U <br />❑ <br />❑ <br />✓ <br />�^ ��� <br />� <br />.�. P <br />SERVIC.E <br />A4AIN <br />PUMP STATION <br />TREATMENT <br />RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �. ����� ���'��� <br />�/�� �� f <br />W.O. Instructions: �' ���{' � 1=L S f�b� L <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />ACTUAL <br />. : 7Z2� <br />� - s- ag -S <br />W.O. No. <br />Acct No. L � S" � � �� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />iB" REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABO�' TIME SLIP�S. ITEMIZE <br />LABOH, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. -,•�•.� : <br />�� <br />Completion (Date�: � � <br />Charge Account Number: _ <br />Address: <br />Invoice No.: <br />iias <br />' ! .' _CostS <br />Charge Cost To (Namel: <br />i� <br />ate: <br />