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CITY OF EVERETT <br />aEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: _�� 5- �� � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />'�p No �oSl'�N� <br />W SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMEfJT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />W.O.Instructions: ?�Lvcn•�'r Sl��"r U-� <br />ESTIMATED <br />Labor (hours) . <br />tvlaterial !cost) . <br />Equipment (cost) : <br />"`° 903G <br />�c_ <br />W.O. No. <br />Acct. No. _� 7 S' � � �/ <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />C REPAIR <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 SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Complelion (Date�: �'����{'� CosLS __ _ _ <br />Charge Account Number: <br />Aadress: <br />Invoice No.: <br />ves <br />Charge Cost T� (Name): E•vG, !�: �, � D9 L- <br />--Zip: <br />e: <br />�., <br />