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11w r� <br /> ^Sn f TC'1 b w•S ' <br /> CITY OF EVERETT 1 <br /> DEPARTMENT OF PUBLIC WORKS ' '" 8 9 516 <br /> UTILITIES DIVISIOt: <br /> W.O. No. <br /> l <br /> Acct. No. L-7 � <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 1 31 - �� f7 WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER d MAIN ❑ OPERATION <br /> ❑ STORM b PUMP STATION REPAIR <br /> ❑ TREATMENT CONSTRUCTION <br /> ❑ RESERVOIR <br /> 1 ❑ VALVE <br /> ❑ MAN HOLE T>=� <br /> i2-29-fig <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> i <br /> W.O. Instructions: t'1 /'��tX L J `� '. 1/ Ali 6 1"*��'• �t <br /> ESTIMATED ACTUAL <br /> Labor(hours) _ Labor(hours) -- <br /> Material (cost) Material (cost) — _— <br /> Equipment (cost) : _ Equipment (cost) <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _. IP'-3l-of17 Cost:$ <br /> Charge Account Number: —Charge Cost To(Name): --- <br /> Address: Zip: <br /> Invoice No.:- Amount:$ Date: <br /> 1185 <br /> j <br />