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q <br />: <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />L � - � J ' � <br />�o=T:� _ �/� 9 <br />UTIGTY WORK ORDER �`�° ' ''�'`�' �r - <br />Date: ��WATER <br />❑ SEWER <br />❑ STORM <br />� Location: <br />sY SERVICc: <br />�. <br />� MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DI7CH <br />i��� 84G9 <br />�. •'Y..'. <br />W.O. N o. <br />no�c. No. �_ � r n�l <br />Complaint No. <br />IJd� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />W.O.Instructions:�/����—�'flj�3++-���--�{2-��.' �' <br />EST! iVIATED <br />Labor (hours) <br />Material (cost) <br />�Equipment (cost) <br />SCHEDULING REDUESTED <br />ACTUAL <br />Labar (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIl.E <br />�R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />pletiori (Date): ���'�g Cost:S � <br />��'ti'Char' e Account Number. _Charge Cost To (Name): <br />� � �'?�`iYr�,a..�9 . . . . . . . . <br />: •� A�d�dress . <br />.... _ . <br />..� . Zipt . <br />.u_..�. : <br />Invoice No.: Amount:S Date: <br />