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9 <br />;os <br />, <br />CITY OF EVERETT <br />DEPARTMENTOF PUBLIC WORKS <br />L ,7-28—� UTILITIES DIVISION <br />� {_r:TLp 1 2-12-9� , <br />UTILITY WORK ORDER <br />Date: '+ '��j J��i � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O.Instructions: <br />ESTIMATED <br />Labor (hours) <br />Material (cost) . <br />Equipment (cost) : <br />I � 7i,- �- — <br />l�:/'�ii�� [ '� il <br />�r;,;:,. .� <br />1 \ • �i �.����i,'�� n. . <br />t'�,.. �7rn <br />W.O. No. <br />Acct. No. L � ; � � �� <br />Complaint No. <br />❑ SERVICE ❑ MAINTENANCE <br />[yl� MAIN 0 OPEPATION <br />O PUMP STATION fY REPAIR <br />1 <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE ��TL b'IS2 <br />❑ CATCH BASIN /z�PAI�� b"M�i�1 <br />❑ DITCH E�Zq��1 <br />�� i!- ! C•i�'711 S i r��: 'l 5� <br />ACTUAL <br />L abnr ! hcurs) <br />Material Icost) <br />Equipment (cost) <br />SCHEDULING REOUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIF'S. ITEMIZE <br />LABOR, EOUIPMENT. AND RIATERIALS ON REVERSE SIDE. <br />Completion (Date�: ��� � "� y Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />. . <br />Invoice No.: ___.___ _Amount:$ <br />