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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />4/5g 14J7 Pasty-IWG % I::EQ <br />UTILITY WORK ORDER <br />Date: f-y- 6 Er V WATER <br />❑ SEWER <br />❑ STORM <br />r 30-29—W <br />SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />1A <br />VALVE <br />C' <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />7701 <br />W.O. No. <br />ACCL No. 1, 7 5 / 11 <br />Complaint No. <br />A� <br />MAINTENANCE <br />❑ <br />OPERATION <br />❑ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />Location: _q7/ S ,SE.t NdRs� A✓� <br />W.O. Instructions: &RjAc�e 4- k* tSE CilAil do% —WrT4 CAr -rj&y- <br />�OTI <br />ACTI JAI <br />❑.imm��w <br />Labor (hours) Labor (hours) <br />Material (cost) Material (cost) — <br />Equipment (cost) Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLAPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. t <br />Completion (Date): C " L7 -88 Cost:S — -- <br />Charge Account Number: <br />Address: _ — <br />Invoice No.: <br />1 /85 <br />Charge Cost To (Name): <br />Amount:S <br />__Zip: <br />