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� .. : CITY OF EVERETT � - -- • ' � � ,;; <br />. • .] ��,. : � <br />" DEPAR'fMENT OF PUE3LIC WORKS �"'"� �'� °-• <br />UTILITIES DIVISION <br />I:T�LITY W�JRK ORDER <br />Date: ' � � � ' `� � WATER <br />C] SEWER <br />C� STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) . . <br />PAaterial ;cost) . . <br />Equipment (cost) : . <br />W.O. No. <br />, � -, -- <br />�'-7 —�J—`� C <br />kcct. No. l� J'' '- 11 I <br />❑ SERVICE <br />�' MAIN <br />❑ PUMP STATION <br />0 TREA�f�4ENT <br />❑ RESERVOIR <br />❑ VALVF <br />❑ M,4N HOLE <br />❑ CATCH BAS!N <br />❑ DITCH <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />� REPAIR <br />❑ CONSTP�iCTION <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cosq <br />SCHEDULI�JG REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABGR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REl'ERSE SIDE. <br />Completion (Data): _ Cost:S _ <br />Charge P.ccount Number: <br />Address: <br />Invoice fVo.:___ <br />GS <br />