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� <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORK8 <br />�;: 4694 <br />�-�c,_<'�?-S <br />UTILITIES DIV1810 � W.O. Na <br />'%D Bq r C�� Acct No. /.%S - 1-�� <br />� 1I ,:,�:omWs�►'-�O; � <br />UTILI'T1f WORK ORDER �j^ ` • ,.: s� � " � <br />Date: �' � �' � 7 � WATER <br />❑ SEWER <br />❑ STORM <br />� SERVICE <br />❑ MAIN <br />� PUMP STATION <br />❑ TREATMENT <br />O RESERVOIR <br />O VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />❑ MAINTENANCE ' <br />❑ OPERATION <br />F' REPAIR <br />❑ CONSTRUCTION <br />Location: � Z � 7 ST�') T� S� -- <br />w.o.inswctions: ���1i��P s�,•oy�`-•� n•M'i1G�-1i $Y cc�,te�::'� <br />,t c IG <br />i. Y <br />ESTIMATED <br />ACTUAL <br />Labor(hours) . Labor(hours) . <br />Meterial (cost) . Material �cost) . <br />Equipment (cost) : Equipment (cost) : <br />SCHEDULING REQUESTED � <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIP.9. ITEM�ZE <br />LABOR, E�UIPMENT, ANO MATERIAIS ON REVERSE SIDE. �� � � <br />J � �'� <br />Completion (Date): 7�J y �� Cost$ <br />N� <br />Char e Cost To (Name►: n r L --�� N� S� t�CyST <br />Charge Account Number: 9 <br />Address: � 4�3� l�k't •n i�l i'h [ l �//� �f� , i, w S i� Zip:. - <br />Invoice No.: <br />