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, 1• <br />� <br />�. .1•l <br />• t' <br />; �:T <br />CITY OF EVERETT <br />DEPAHTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />! <br />� �r <br />f i� <br />UTILITY WORK ORDER <br />Date: .�' � � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />TIMATED <br />�,i Labor(hours} . <br />� Material (cost) . <br />j Equipment (cosij : <br />;'.... �. . -..�K:.:.YS:�%`l:!i'+.� <br />i �i _: � V V t� <br />W.O. No. <br />A���. No. � 7 S- »y ._ <br />Complaint No. <br />fSERVICE � MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />�� <br />❑ VALVE a"-�-`T�� <br />�z-z� -5� <br />� MAN HOLE ,, _ <br />❑ CATCH BASIN <br />❑ DITCH <br />�T����� �.{ <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING F�QUESTED <br />11SE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMiZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVEHSE SIDE. . <br />Completion (Date): ���—��`�' 3��Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />+ies <br />ate: <br />