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CITY OF EVERETT <br />DEPAATMENT OF PUBLIC WORK�3 <br />UTILITIES DIVIHION <br />UTILIT� WORK ORDER <br />oate: J x' �' Jl � 1� WATER <br />❑ SEWER <br />❑ STORM <br />��/i.����*-� �',�-� <br />Location: <br />W.O.Instr <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />O TREATMENT <br />D RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�.� ��-�9-5 <br />FhSrED �-��mmS � <br />,�._ li0�i�r <br />W.O. No. <br />Acct No. 6 7 S� ! 1 9 <br />Compleint Na <br />,� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />F.quipment (cosp : <br />S <br />�abor(hours) . <br />Material (cost) . <br />Cquipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BEIOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion(Date): ��'�7���6'; Cost$ <br />Charge Account Number: <br />Address: <br />InvoicCrNo.: <br />� ru <br />Charge Cost To (Name►: <br />�t:$ <br />