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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />� <br />Date: -�� �Y WATER <br />_� ❑ SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />fd' SERVICE <br />� <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />;�' � 7420 <br />W.O. No. <br />Acct No. .t.,_?5 I � �� <br />Complaint No. <br />� MAINTENANCE <br />� OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />❑ CATCH BASIN ,;� <br />❑ DITCH +t`� <br />i i � <br />. . � // �� i . � . � <br />i ' <br />• . ..i I' i ..� .•. <br />ESTIMATED <br />labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCNEDULING REQUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS�. I�AM�E <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE �,.��.��,� <br />Completion (Datel: �� �8 � �U Cost:$ <br />Charge Account IVumber: <br />Address: <br />Invoice <br />�isa <br />Charge Cost To (Name): <br />P� <br />nh$ Date: <br />