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CITY OF EVERETT <br />- ' DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIViSION <br />UTILITY WORK ORDER <br />Date: ���a������ � WATER <br />❑ SEWER <br />� STORM <br />T (`�-�q-5 <br />3�o i�osxf-.� <br />�G� � �/����� //� ��-� <br />/ <br />Location: <br />W.O. Instructions: <br />,� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />f':�' 9033 <br />W.O. No. <br />Acct. No. �-� r � � � y <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ESTIMATED <br />Labor (hours) <br />Material(cosq <br />Equipment (cost) <br />t L S f.P {'1 G-f S <br />ACTUAL <br />Labor (hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�UESTED - <br />USE CHARuE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �� �'� Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:5_ <br />iias <br />te: <br />