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CITY OF EVERETT <br />, DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />TI�—''..`�-� <br />�o ��x-�� <br />UTILITY WORK ORDER <br />Date: ��"�y"���� Ei WATER ,� SERVICE <br />❑ SEWER ❑ MAIN <br />❑ STORM ❑ PUMP STATION <br />��o� %����c��%� <br />� <br />Location: � <br />/ <br />W.O. Instructions: <br />❑ TREATMENT <br />� _� ❑ RESERVOIR <br />' �%� ❑ VALVE <br />/��Lr% f (� <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />K i� � s f.� v� �� S <br />ESTIMATED <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) ; <br />;':�' 9033 <br />W.O. No. <br />Acct. No. l-7 s I 1 y <br />Complaint No. <br />Q� P,IAINTENANCE <br />❑ OPERATION <br />❑ REPAIF <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED - <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SIIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �� �� Cost:S _ <br />Charge Account Number. _Charge Cost To (Name): <br />Address: <br />Invoice No.:_ Amount:5 <br />�ies <br />afe: <br />