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. � r� � ., <br />�� <br />0 <br />(� 3U— ?_ 9— 5 <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />,,�_r�D �: -2A-69., <br />UTILITY WORK ORDER <br />Date: S1�"J=fl-�. � WATER <br />�EWER <br />❑ STORM <br />1/85 <br />a <br />g�sa <br />W.O. No. <br />Acct. No. �� 5' � � 9 I <br />Complaint No. <br />.�' SERVICE ❑ MAINTENANCE <br />❑ MAIN O OPERATION <br />❑ PUMP STATION �B REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: 3 $a �% �[,�r " i <br />W.O. Instructions: <br />�1 . � . . � n � <br />0 <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />... / A � �� � <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />I Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. . <br />Completion (Date): Cost:$ <br />Charge Account Number. Charge Cost To (Namep _ <br />Address: — <br />Invoice No.: Amount:$ <br />r �� <br />� <br />