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N <br />UTILITY WORK ORDER <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />Y - I`i ':�r1-`� <br />3�',o PoS�� <br />``'.° 9044 <br />W.O. Nu. <br />A��,. No. L7S- � � y <br />Complaint No. _ <br />Date: I� 1�' y� � WATER � SERVICE ❑ M�INTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION [�Y REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVF <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�ocation: —��� � �,FlT s-r�J�/.f�E �%/� � <br />� _ _ ,. , i. ._. _ _ _,,. ,. s , � • i i . . � , _ <br />W.O.Inst <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />a <br />ACTUAL � �"R.S <br />Labor (hours) <br />tiiaterial (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 />Completion (Date): _� � � 7'" �� _ CoshS <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />ves <br />Charge Cost To (Name): <br />mount:S <br />_ Date: <br />