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+w�w..r'wwT��� ... ..-..... .. <br />CITY OF EVERETT <br />7EPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: 1� 1`� ` � Rf WA�i ER <br />❑ SEWER <br />❑ STORIA <br />UTILITIES GIVI��ON <br />. 7317 <br />� �o-=r9-S <br />W.O. No. <br />/���� � /�'�' Acct No. ._!_ % � �' `/ <br />�tio tir-,.�-�u�� Complaint No. <br />`Q' SERVIC�� � MAINTENANCE y',\1T <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION ❑ REPAIR <br />O TREATMENT ❑ CONSTRUCTION <br />❑ AESERVOIR <br />O VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />. . o �� �- i .� : . <br />• . ,�.:I - 1.: : r:. � :� . // l_.� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Ec�ipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor(hours) . <br />Ma:erial (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FUR LABOR TIME SLIPS, ITEMIZE <br />LABOR, EQUIPMENT, AND MA'i ERIALS ON F.'�V=RSE SIDE. `a.:.:�,�.� <br />Completion (Date): 1= ' � � � — Cost:� <br />Charge Account Number: <br />Address: _ <br />invoice No.:_ <br />�iss <br />Charge Cost To (Name): <br />_Amount:5—_ ._—_Date: <br />