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. �-.Y - _ . _ �. <br />y, <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISIO�1 <br />� � 3/I <br />i�' � <br />� y�fl� �� �r�� � ( �� <br />UTILITY WORK ORDER <br />Date: � �G' > > L1 WATER <br />❑ SEWER <br />❑ STORM <br />d SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />r�_ 4660 <br />N _ �-��)-� <br />W.O. No. <br />Acct No. �� � �� � � � � <br />Complaint No. <br />.&7 MAINTENANCE <br />❑ OPEiiK�1SN <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Location: �_ ��—��'��� <br />W.O. Instructions: C 1I N�l L S7.QL�!( ty F �� ^!t f 1 rl i i�' -f �� �� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �� �1 ,y, <br />Completion (Date): � � � —8 7 Cost:$ <br />Charge Account Number. <br />Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />Amount:$ _Date: <br />�ros <br />u <br />