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Y <br />t ies <br />CITY OF EVERETT <br />-!. '` -� DEPARTMENT OF PUBLIC WORKS <br />• UTILITIES DIVISION <br />K ?- 2e- S <br />'=?�89 Posr��, No iumrns <br />UTILITY WORK ORD�R <br />Date: ��- � �" S� �� WATER <br />� SEWER <br />❑ STORM <br />Location: __ <br />W.O. Instructions. <br />I ? 1 �- �', "` _ _ <br />ESTIMATED <br />Lebor (hours) <br />Material (cost) <br />Equipment (cost) <br />\� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />� <br />t i'�� i n' �– !,F'1 � r.'. <br />1'.�: $6b,� <br />W.O. No. <br />Acct No. _��" � � <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />C�REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOF TIME SLIPS. ITEMIZE <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): _��� �'�y Cost:$ —. <br />Charge Account Number. � Charge Cost To (Name): " <br />Address: <br />. <br />Invoice No.: Amount�_ — <br />ate: <br />