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u <br />. <br />UTILITY WORK ORDER <br />, ,�� - <br />CITYOFEVERETT '��� F��r-� ;:_ 7909 <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />T a�-_s-=1 <br />W.O. No. <br />Acct No. L i `'" � � `� <br />Complaint No. <br />Date: -� r' S' � i � WATER � SERVICE <br />� MAINTENANCE <br />❑ SEWER � MAIN ❑ OFERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �. �,��'�{/Ir�P_��y �,�F¢j y <br />W.O. Instructions: �,�{-��_GL�,�� �1.�r�� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cosi) : <br />SCHEDULING REQUESTED <br />ACTUAL 3 <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBEH BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPti1ENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �� –%i :' CostS <br />Charne Account Number: <br />Address. <br />Charge Cost To (Name): <br />Invoice No.: AmounL•S Date: — <br />� <br />