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��..;.::L' ltini•... tir�tj'.�r.. <br />� � : <br />.. .. _ : .:i1L�r' . <br />� �: <br />' ': � i � ' . . . <br />CITY OF EVERETT <br />DEPARTMENT OF �UBLIC WORKS <br />UTILITIES DIVISION �y.p, No. <br />UTILITY WORK ORDER <br />Dale: �� Z 7 �� �� WATER <br />❑ SEWER <br />❑ STORM <br />Locetion: �r 7 <br />ST <br />W.O. Instructions: �' r� �� � � <br />ESTIMATED <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />c 3D-z4- 5 <br />�-- <br />��p ��i� <br />�SERVICE <br />❑ MAIN <br />O PUMP STATION <br />❑ TREATMEN7 <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />r �''1 ;.� �, ,•� <br />ACTUAL <br />Acct No. <br />i:_ <br />.:�:� 1�3t'vNi� <br />t5�8 <br />�75-11 !i <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIF <br />❑ CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <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): ��3�� Cost:$ <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice <br />� Date: <br />