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�-rlr v.y,::, . . . Y <br />j _. y <br />f <br />� <br />'. ' �;,, <br />CITY OF EVERETT •='•� ��'-�• � <br />DEPARTMENT OF PUBLIC WORKS �-.'i���� S'£.�3���� � <br />UTILITY WORK ORDER <br />Date: Ll ���' �� � WqTER <br />O SEWER <br />❑ STORM <br />location: <br />� <br />UTILITIES DIVISION <br />i� <br />i9�!', Nyt c v <br />��'. <br />�SERVICE <br />❑ MAIN <br />O PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />, .aY..i�l. �i - � ��.11:1�:w.^i:.... <br />�.� <br />� � ' .��'.w � � �11 • <br />W.O.�Nd. <br />Acct. No. ���t� � / .. � <br />. + ' <br />Complaint No. .� � <br />:'c�. <br />❑ MAINTENANCE .: . <br />�❑/ OPERATION <br />'61 REPAIR <br />❑ CONSTRUCTION • <br />W.O. Instructions: GN��� �R �AK/; % � ,�%��jd <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE •' <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): - G�1 ��� Cost:S <br />Clia�ge Accourit Number: Charge Cost To (Name): .-'' 1�� <br />;.. <br />• . >.::...,._ . <br />•-- - Address . . . ..;.. y2,:, <br />.. ZiP , . � <br />___ . . - - —�— — -- ---- <br />Invoice No.: " Amount:5 Date <br />