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n <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />Lao —Z�f <br />PO <br />UTILITY WORK ORDER <br />8122 <br />W.O. Nc. <br />Acct No. �7 ` 10 9 <br />Complaint No. <br />Date: ^ 01 ❑ WATER <br />�' SERVICE <br />❑ MAINTENANCE <br />4eSEWER <br />❑ MAIN <br />❑ OPERATION <br />❑ STORM <br />❑ PUMP STATION <br />.B' REPAIR <br />❑ TREATMENT <br />❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: 3'4 34 ne rig l <br />✓t= <br />W.O. Instructions: <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:$ Date: <br />