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,;: � . CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�/ .3 ��- 2.9- '1 <br />I7-/�� Pos�ED, �1o`rurnMS <br />UTILOTY WORK ORDER <br />Date: �" �� � y � WA7ER <br />❑ SEWER <br />❑ STORM <br />Location: _Z <br />W.O. Instructions: <br />I S'' S! r` S T <br />/��;/�i� i �7 S <br />: . .. � �7 ' ':� <br />W.O. No. <br />Acct. No. � � S � � � <br />Complaint No. <br />[�' SERVICE ❑ MAINTENANCE <br />� <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION REPAIR <br />❑ TREATMENT CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ �ITCH <br />�.� <br />�py� c-/ <br />I- <br />ESTIMATED ;' /' � ACTUAL Z �-f �S <br />I Labor (hours) . Labor (hours) . _ <br />� Material (cost} . __ Material (cost) . _ <br />� Equipment (cost) : Equipment (cost) : _ <br />SCHEDULING REQUF�TED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): � � 7 � v / Cost:� <br />Charge Account Number: Charge Cost To (Name): _ <br />Address: <br />Invoice No.: Amount:$ <br />�;85 <br />� <br />