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. . •y� e .. . .,... . . I <br /> y � � . . . . . ,_ . <br /> -� CITY OF EVERETT <br /> \� � � � DEPARTMENT OF PUBLIC WORKS � �-• 3 ` �5 <br /> UTILITIES DIVISION <br /> � � _ �I —=;j^�� W.O. No. <br /> ��-_�- 7�:;'? Acct. No. GC� � — l / Y <br /> v'� ri,��l `�IS ��`' , �.�,,�_ z�� a <br /> UTILITY WORK ORDER C��Carri'plairtiNo::� ' � <br /> � /°1rTr- �Ao ..SrU�%\\�JS.��-��� � =.��-��... � <br /> Date: � ' �� - S y C4' WATER ❑ SERVICE C� MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION ' <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE � <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> � Location: �Of��.,;� /� f�r .S� �UT /��� BY � �IG� I <br /> . /-�-�.��' ��e �G ' '' �� ; . <br /> W.O.,Instructions• I <br /> � - -_---• �'l�,/� �'���N' Ce).v . . , <br /> � <br /> , = "��/�/�- /OmA.s� S� , . . <br /> � <br /> -- _ _ '/o �,r �' S��L �I S "�r�r •� � ,. , , i <br /> , _ -... • /na /� (�'� /�ve � /� '' f-�Ser �• . , . ,. , <br /> �I <br /> I <br /> � <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . I <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 /> LA30R, EQUIPMENT, AND MATERIALS ON REVERSE SIDF _. , <br /> Completion (Date): Cost:S <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: : Zip: <br /> Invoice No.: Amount:S Date: <br />