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� , .r'..... <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIViSION <br />T 19- '`�-�5 <br />°�o ��L <br />JTILITY WORK ORDER <br />Date: ��-z��� ��� ��WATER <br />❑ SEWER <br />❑ STORM <br />Location: � <br />W.O. Instructions: <br />liB5 <br />•.�.. ��5� <br />�:_ <br />W.O. No. <br />. " ' <br />Acct. No. � � � <br />Complaint No. <br />� SERVICE �C� MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT L CONSTRUCTION <br />❑ RESERVOIR <br />G VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />ESTIMATED ACTUAL <br />Labor(hours) . Labor(hours) . _ <br />Material (cost) . Material (cost) . _ <br />Equipment (cosi) : Equipment (cost) : _ � <br />SCHEDULING RE�UESTED <br />USE CHARGE 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:S—_ <br />ate: <br />