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UTILITY �V41RK QP,nER <br />Date: — � �' -. v <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITlES DIVISION <br />��E] WATER <br />❑ SEWER <br />❑ STORM <br />l� SEF <br />❑ MAI., <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ R�SERVGIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BP.SIN <br />❑ DITCH <br />W.O. No. _ <br />%7 <br />lcct No. �_ <br />Location: �3I4.�� /%����5 T <br />W.O.Instructions: d'7.i°li�^' '�+.�'l l:.r <br />FSTIMATED <br />Labor (hours) . <br />Material (cost) <br />Equipment (cost) : <br />ACTUAL <br />:omplaint No. <br />AINTENANCE <br />� „PERATION <br />� REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) <br />Materiai (cosq <br />Equipment (cost? <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLI�S. ITEy11ZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVFRSE SIDE. �` <br />. . _ ,�, ,_ <br />Completion (Date): � Cost:S <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />iies <br />mount:5 <br />� <br />7G37 <br />!'�l <br />