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IR <br />r <br />UTILITY WORK ORDER <br />Date: �-( <br />F WATER <br />❑ SEWER <br />❑ STORM <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />Cl <br />SERVICE <br />t7' <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 />' `4 <br />W.O. Nd! <br />Acct. No, <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑' CONSTRUCTION <br />winvaHlL-U f3 <br />ACTUAL } <br />Labor (hours) (. <br />Labor (hours) <br />Material (cost) <br />Material (cost) <br />Equipment (cast) <br />Equipment (cost) <br />SCHEDULING REQUESTED �+ <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): / d — ? i" — <br />Cosl:S <br />Charge Account Number: <br />Charge Cost To (Name): <br />(.'. <br />Address: <br />Invoice <br />----- _Amount:S_— —Date: <br />