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CITY OF EVERETT <br />DEPART�JIENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: ������_�'�� � WATER <br />O SEWER <br />❑ STORM <br />��/a Gt��%�'�l�.�d,� <br />�ocation: <br />W.O. Instnictions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />T I�—^.�q-� <br />' �o ��-� <br />� t L Sf.P{'1 Gf S <br />,�i SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />� <br />ACTUAL <br />W.O. No. _ <br />Acct. No. l-7 S' I 1 <br />Complaint No. _ <br />� MAINTENANCE <br />O OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) . __ <br />Material (cost) . _ <br />Equipment (cost) : _ <br />SCHEDULING REQUESTED - <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOf� TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AMD MATERIALS ON REVERSE SIDE. <br />Completion (Date): �� �� Cost:� <br />Charge Account Number. <br />Address: <br />Invaice <br />iies <br />Charge Cost To (Name): <br />mount:5 <br />'� <br />9033 <br />