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t CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />`E/��mj Po : i E1� — NO TUMMS <br />UTILITY WORK ORDER <br />j Date: Z y WATER <br />% ❑ EWER <br />❑ STORM <br />Location: _--1 <br />W.O. Instructions: <br />b' <br />SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />i <br />775G <br />W.O. No. <br />Acct No. L7't4N <br />Complair', No. <br />MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION- <br />ESTIMATED ACTUAL <br />F <br />bor(hours) Labor (hours)aterial (cost) -Material (cost) <br />uipment (cost) Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME S�11` <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion ;Date): t' 1) ��1 {—Cost:$ -- <br />Charge Account Number. Charge Cost To (Name): <br />Address: — <br />Invoice No.:_ <br />1/85 <br />nt:$ <br />S�M\E <br />13 <br />