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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER NO I V1NMS <br />Date: 1'12-fl w WATER <br />❑ SEWER <br />❑ STORM <br />W.O. No <br />Acct. No. t.7 f -t "I <br />Complaint No. <br />SERVICE ❑ MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION --If' REPAIR <br />❑ TREATMENT 0 CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATru BASIN <br />❑ C <br />Location: ' r- � 1.4--ij <br />W.O. Instructions: <br />ESTIMATED <br />ACTUAL <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 LABOF TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): 5-�7--P!6 Cost:$ <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />NI <br />Invoice No.: Amount:$ Date: <br />