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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />9050 <br />UTILITIES DIVISION <br />W.O. No. <br />UTILITY WORK ORDER <br />Date: r Z ZAb 14' WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O.Instr <br />SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIH <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />I <br />nirru <br />Acct. No. y <br />Complaint No. <br />MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ESTIMATED ACTUAL Z S <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): -- / n — Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />1 /65 <br />Charge Cost To (Name): <br />nt:$ <br />