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n <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: f� � } S � 6X �NATER <br />O SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />� SERVICE <br />p. MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />,�!' MAN HOLE <br />r <br />❑ CATCH BASIN <br />❑ DITCH <br />���� <br />N= 4654 <br />�- s�` s <br />W.O. No. <br />Acct No. ��� � �� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />ir3 CONSTRUCTION <br />r <br />Location: Z�I Ll�ll S�r•�%���7: Sc�"TN I s <br />W.O. Instructions: lP EnL/1C C I1/ ( T?rni2 H�� I�� �'� ��ST�` �'��� J'f' <br />R6 �t !� S ��P 1 t�l <br />s�o / �.-«� � �.,-..� A,.,� . �. <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor(hours) . _ <br />Material (cost) . _ <br />Equipment (cost) : _ <br />USE CHARGE ACCOJNT NUMBER BELOW FOR LABOR TIME SLIP5. ITEMIZE� <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. "�`� �'� <br />. <br />Completion (Date): �' � ��7 Cost:3 <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />iies <br />ate: <br />