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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY iNORK ORDER <br />Date: I� 7 1I� ll�� � WATER <br />❑ SEWER <br />❑ STORM <br />Location: �I <br />�; ��----- ---,(-��� <br />W.O. Instructions: � <br />��—� <br />� r"� <br />'L <br />ESTIMATcD <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />UTILITIES DIVISION <br />� <br />� �� - .__ _.. <br />3/9 o Po sZ-E� <br />�� CE <br />MAIN <br />PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAL <br />i:: 905t3 <br />W.O. No. <br />Acct. No. �-73 � � �7 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />� REPAIR _�_� <br />❑ CONSTRUCTIC�N <br />Labor (hours) <br />Material (cosq <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. , <br />Completion (Date): � � S"r/6 Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />iias <br />harge Cost To (Name): <br />