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CITY OF �EVERETT 1 <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION, <br />UTILITY WORK ORDER <br />.�_ <br />. - , <br />���... <br />r;.; _ , . <br />W.C. No. <br />A���. No. ��5' ' G 77 <br />Complaint No. <br />Date:. [k( WATER ❑ SERVICE ❑ MAINTENANCE <br />O SEWER �1 MAIN ❑ OPERATIGN <br />❑ STORM ❑ PUMP STATIUN ❑ REPAIR <br />❑ TREATME�T � CONSTRUCTION <br />S`� ❑ RESERVOIR <br />C7 VALVE <br />❑ MAN HOLE <br />CATCH BASIN <br />� So � G�� �_. <br />Location: ��J /`L C�G!%�✓� <br />W.O. Instructions: /'�y � � �S ����/o''� <br />ESTIMATED <br />Labor (hours) <br />Materiai (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />ACTUAL <br />_ Labor(hours) <br />_ Material (cost) <br />_ Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITE�1417E <br />LABOR, EQUIPMENT, AND h1ATERIALS ON REVERSE SIDE. <br />Compb�:ion (qate): �'�F�J� Cost:S <br />Char,e Account Number: <br />Address: <br />Invoice No.: <br />Charge Cost To (Name): <br />mounj: <br />