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CITY OF EVERETT <br />DEPAPTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />C <br />UTILITY WORK ORDER <br />Date: L ?' WATER <br />❑ SEWER <br />❑ STORM <br />C'f SuRVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />i:_. 891E <br />W.O No. <br />Acct. No.� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />E-1'JREPAIR <br />❑ CONSTRUCTION <br />Location: S6 I JorC��l �2�7 �d•`— —.__ <br />W.O. Instructions: _-- C �% F r �' 4 Ka? <br />Ar`TI IAI <br />=J I I IVIH 1 C V <br />Labor (hours) Labor (hours) — <br />Material (cost) Material (cost) <br />Equipment (cost) Equipment (cost) — <br />.;rHEDULING REQUESTED <br />USE CHARGE ACCOUNT Nt1M'1ER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): <br />Charge Account Number: <br />Address: <br />Invoice r <br />5 _ <br />Charge Cost To (Name): <br />mount$ Date: <br />