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i <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />Pos-F v - 7/& <br />Wrim 1TY WORK ORDER <br />�� T11b1N\ <br />Date: " 89 ❑ WATER <br />SEWER <br />❑ STORM <br />Location: J `i <br />W.O. Instructions: <br />8122 <br />W.O. No. / <br />Acct No. (D7 — 10 9 <br />Complaint No. <br />-P' SERVICE <br />❑ MAINTENANCE <br />❑ <br />MAIN <br />❑ OPERATION <br />❑ <br />PUMP STATION <br />.20 REPAIR <br />❑ <br />TREATMENT <br />❑ CONSTRUCTION <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />ESTIMATED ACTUAL <br />Labor (hours) Labor (hours) <br />Material (cost) Material (cost) <br />Equipment (cost) 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): Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />0 <br />te: <br />