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s <br />i <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORKORDER <br />Date: 1 "c�1'.1 ! -W WATER <br />❑ SEWER <br />UTILITIES DIVISION <br />4621 <br />W.O. No. <br />Acct. No. <br />// �; - G 7 % <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT R CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />,+ yy ❑ DITCH <br />�r Location: 70.�oil�/Vf6/D��_.-':de, <br />W.O. Instructions: "k 7V A1,41 / i�LSi,9LL f�c�c/ <br />Y� <br />ESTIMATED <br />❑ SERVICE <br />03 MAIN <br />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:S <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />1/85 <br />Charge Cost To (Name): <br />unt:S <br />Zip: <br />te: <br />