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i <br />1/85 <br />)CITY OF EVERETT <br />°CC DEPARTMENT OF PUBLIC WONKS <br />UTILITIES DIVISION <br />. � <br />r 01. 2g <br />UTILITY WORK ORDER <br />Date: I �- �� H 7" WATER <br />❑ SEWER <br />❑ STORM <br />/054c/ /- 90 <br />Location: :j'rD ST— <br />W.O.Instructions: 6PAnP Yl� <br />ESTIMATED <br />q SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ACTUAL <br />!" 9)008 <br />W.O. No. <br />Acct No. <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />V REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) <br />Labor (hours) <br />Material (cost) <br />Material (cost) <br />Equipment (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. I'i EMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): ��� Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: _ <br />Invoice <br />mount: <br />