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' � ' CITY OF EVERE.TT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�,, <br />�w� 5/S7 <br />;�� a655. <br />C_. 5—z S' S <br />W.O. No. _ <br />Acct No. I � %- t 1'/ <br />. `�`��4 � ��`/"� Complaint No. <br />UTILITY WORK ORDER <br />Date: 2�C ��� WATER p SERVICE ❑ MAINTENANCE <br />❑ SEWER d" MAIN ❑ OPERATION <br />G STORM ❑ PUMP STATION ❑ RF_PAIR <br />❑ TREATMENT :FI CONSTRUCTION <br />❑ RESERVOIR <br />❑ V�LVE <br />G MA�I HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: LCy�i I,L !? J S �v7N Fi(11I771 rt•( 7 i ��YC 1 L+1�/ <br />W.O. Instructions: R�/�1 +� � r 2 1 l� f��i t.� L*J l?��c� S�=.PY1 �S <br />ESTIP.IATED <br />Labor (hours) . <br />Materia! (cost) . <br />Equipment (cosq : <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHAFGE ACCOUNT NUMBER BELOW FOR LA80R TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS � ERSE SIDE. <br />Completion (Date): 3 � � 3 — � � _CosCS <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />� <br />� <br />u <br />