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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />U i ILITY WORK ORDER <br />Date: � ` � ' �� � WATER <br />� SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />W.U. No. <br />7grg <br />Acct No. L 7 � � "� <br />�'� �— �� �' �Complaint No. <br />h/8� PoSS�U <br />/ ��o'rua�Ms RE�. <br />�C�' SERVICE ❑ MAINTENANCE <br />❑ MAIN O OPERATION <br />❑ PUMP STATION �p' REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />. . <br />: i .� . , D :� <br />,. : , . . <br />• . �c � : . 1 [.. r� <br />ESTIMATED <br />Labor (hours) • <br />Material (crat) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />ACTUAL <br />Labor�hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. IT�MIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVEFSE SIDE. .,.� \� <br />Completion (Date): �f �( � .;' —Cost:S <br />Char9e Account Number: <br />Address: <br />Invoice No.: <br />iies <br />Charge Cost To (Name): <br />ate: <br />