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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: �"� S G� v� WATER <br />❑ SEWER <br />� STORM <br />UTILITIES DIVISION <br />��`;'� � � ) � <br />W.O. No. <br />L� 5- 28 --S Acct No. _G 7�'- 1 1 �� <br />���p PoST"gj) 4-TVMMS ComplaintNo. <br />❑ SERVICE <br />�C� MAIN <br />C PUMP STATION <br />G TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />— i <br />. . . __.�.^� � /. i .�i <br />� <br />• • ♦ � �i I iI/i/ �iu'i i! � <br />� <br />ESTI MATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />❑ MAINTEN/1NCE <br />❑ OPERATION <br />� REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, A!JD MATERIALS ON REVERSE SIDE. <br />Completion (Date): t 24��[D Cost:S <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount:S <br />� ies <br />e: <br />