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� <br />!85 <br />CITY OF EVERETT <br />� DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�os�ec% �- 9C� ,yq� � <br />� 30 <br />UTILITY WORK ORDER <br />Date: %� " �� " �� ❑ WATER <br />--�SEWER <br />❑ STORM <br />�ocation: 3 �I I3 �.tl2Z»�Gvi� �d�' <br />� <br />W.O. Instructions: <br />Ir - <br />ESTIMATED <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) : <br />.... ni�3 <br />W.O. No. <br />Acct. No. �� S � � � 9 <br />Complaint No. <br />�f�SERVICE ❑ MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION �EPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAI_ <br />L3bor(hours) . <br />Material (cosq . <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 />Complelion (Date): Cost:� <br />Charge Account Number: Charge Cosi To (Name): <br />Address: <br />Invoice No.: AmounC� <br />0 <br />