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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: - ❑ WATER <br />❑ SEWER <br />STORM <br />Location: <br />UTILITIES DIVISION <br />❑ <br />SERVICE <br />`�L IN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />C. <br />W.O. No. <br />Acct. No. �%/— ��z:�— <br />Complaint No. <br />C! MAINTENANCE <br />❑ OPERATION <br />`❑ REPAIR <br />—CONSTRUCTION <br />W.O. Instructions: <br />ESTIMATED <br />Rarll_1 <br />Labor (hours) <br />Labor (hours) <br />Material (cost) <br />Material (cost) <br />Equipment (cost) <br />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: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount: <br />19 <br />