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n <br />0 <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: ��" � ��'%� � WATER <br />❑ SEWER <br />❑ STORM <br />.. . 782i <br />UTILITIES OIVISION yy.p. No. <br />d; a Pc :.�D — <br />. 8, uoT��MtnS -�EFv�CE r>.�fiEFCY COWti /.�5� 1��l <br />Acct No. _ <br />-� 3e-z9- s <br />Complafnt No. � <br />3 9�o u/Ei`�o� fI✓E <br />LoCation: <br />W.O.Instructions: <br />1/95 <br />ESTIMATED <br />Labor (hours) . <br />Materiai (cost) • <br />Equipment (cost) : <br />a <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />� RESERVOIR <br />O VALVE <br />O MAN HOLE ' <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAL <br />�MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR , <br />❑ CONSTRUCTION <br />Labor (hours) • <br />Material (cost) . <br />Equipment (cos'�) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL PS. ITE�� <br />LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. �,� <br />Completion (Date): O9'�Z 8P� Cost:S <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount:S <br />� <br />