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UTILITY WORK ORDER <br />. .. . . . . . �� _.2S -5 W;, • , <br />CITY OF EVERE7T �'���,Fb�ret�+- :3' 707_9 _ <br />DEPARTMENT OF PUBLIC WORKS ��� , 5'•�A,t <br />;. .,. <br />UTIUTIES DIVISION , W.0_,No. . �' <br />.. <br />, Acct No"`� -� c� � �1 y . .. :: , <br />Complaint No. ` <br />Date: �' z !' � � � WATER <br />SEWER <br />❑ STORM <br />Location: <br />W.O.Instr <br />es <br />� SERVICE <br />'� MAIN <br />❑ PUMP STATION <br />O TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />MAiNTENANCE . <br />OPERATION <br />❑ REPAIR <br />❑ CONSTFiUCTION <br />� <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />EquipTnent (cost) <br />SCHEDULING FiEQUESTED <br />ACTUAL <br />Labor(hours) • <br />Material (cost) . <br />Equipment (cost) : <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 />. . � ; <br />Address: <br />Invoice No.:'�� " Amount:$ <br />�.1;;'. <br />