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a <br />0 <br />� CITY OF EVERETT <br />�� ��� DEPARTMENT OF PUB�IC WORKS <br />UTILITIES DIVISION <br />K �-Ze-s <br />ia/gc� PosreD, �� T�mMS <br />UTILITY WORK ORDER <br />Date: �� -8 [�' WATE'R <br />❑ SEWER <br />❑ STORM <br />� SERVICE <br />❑ MAIN <br />O PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />U DITCH <br />8(s`t� <br />i:� °6:: r <br />W.O. No. <br />AccL No. 11 %5 �� 9 <br />Complafnt No. <br />O MAINTENANCE <br />❑ OPERATION <br />C�HEPAIR <br />❑ CONSTRUCTION <br />Location: �,� % " %S_� .S %. : � <br />W.O. Instructions:._�S�S� -'��r'l'.._� � �'Uic C v�"�. �. �r�r puC'Or1 iiS'rJC'; c,i;'. <br />-y - � <br />�. <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />�ir� . ; <br />ACTUAL <br />I_abor(hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING RE�UESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. I'TEMIZE1 <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion(Date): �������i' __Cost.$ <br />� . . ; •,,. . �V-�, <br />� _ . <br />ChargeAccountNumber: ChargeCostTo(Name):�P�dP� �/A-�i%WLlU� <br />! Address: /' �• �6X �.3 070 /�0/r%�C/� �, ��PQU/i/ Zip: 9/ZU� <br />� <br />Invoice <br />I/a5 <br />au-� <br />te: <br />