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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />� 2�-29-5 <br />UTILITY WORK ORDER <br />UTILITIES DIVISION <br />�._. 8718 <br />W.O. No. <br />Acct No. L% 5- �► y <br />Complaint No. <br />Date: ���' �'y � WATER SERVICE p�MAINTENANGE <br />❑ SEWER MAIN �� OPERATION <br />❑ STORM ❑ PUMP S"�'ATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />u <br />❑ VALVE f�=TED '� <br />� -s-�o <br />❑ MAN HOLE 'r <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: __ � �Z7 /�1�e1D0�'G /I � f� ✓� <br />W.O. Instructions: G ��iL���«������ ��� <br />ESTIMATED <br />Labor(hours) . _ <br />Material (cost) . _ <br />Equipment (cost) : _ <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOr�, EQUIPMENT, AND M.;TERIALS ON REVERSE SIDE. <br />Completion(Date): ci'��3�`� Cost:S <br />Charge Account Number: <br />Address: <br />Invoice No.: — <br />ties <br />Charge Cost To (Name): <br />P:. <br />ount:$ uate: <br />