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CITY OF EVERETT <br />� 9O3L <br />DEPARTMENT OF PUBLI:. WOHKS ' "' <br />UTILITIES DIVISION W p, No. <br />-�'- i9-29 5 <br />,_^.�p V`�s`r � <br />Acct. No. L� S I 1 <br />G <br />Complaint No. <br />UTILITY WORK ORDER / <br />Date: ��'2�� ��l � l� WATER LN SERVICE [3 MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM U PUMP STATION ❑ REPAIR <br />❑ TREATMENT O CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HO�E <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: ���7 � ����� � �r�� � � <br />W:O. Instructions: <br />ESTIMATED <br />Labor (hours) <br />Material (r,osq <br />Equipment (cost) <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED — <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LA80R, EQUIP�4ENT, AND MATERIALS C�N REVERSE SIDE. <br />Completion (Date): �' � � � � Cost:S — <br />Charge Account Number: <br />Address: <br />invoice No.:___—.-- <br />ves <br />Charae Cost To �Name): <br />Amount:S__ <br />P� -- <br />te: ---- <br />