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-.y., , .�t,- .._"' <br />; „ ':x..; .. <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: � ��� �� � y t] WATER <br />❑ SEWER <br />O STORM <br />�� <br />/It� <br />� SERVICE <br />❑ MAIN <br />O PUNi� STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />Location: �1 ��O ' �� �� ST. E <br />W.O. Instructions: <br />[j�tc��� Sf���.,,/. �:i.� �.•s.��r' <br />ESTIMATED <br />Labor (hours) <br />Meterial (cost) <br />Equipment (cost) <br />ACTUAL <br />t'... �929 <br />W.O. No. <br />Acct. No. <br />4�s ��9 <br />Complaint No. _ <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />��I .,t <br />� ,i <br />.� � <br />--+-'�-- <br />: �'� <br />�., � <br />, <br />.<' <br />labor (hours) <br />Material (cost) <br />Equipment (cosi) <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): _1 �� � �"�� Cost:$ _ <br />i,harge Account Number: Charge Cost To (Name): <br />Address: ZiF <br />Invoice No.: Amount:$ Date: <br />' ves <br />