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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />N_ 4830 <br />UTILITIES DIVISION W.O. No. — <br />>lv� l i j Acct.No. , — <br />�� �� 1 Complaint No. <br />UTILITY WORK ORDER <br />Date: Q- WATER ❑ SERVICE MAINTENANCE <br />❑ SEWER 6T MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH 1 �� <br />Location: <br />�Xlie/ czUnJl//It <br />ESTIMATED <br />Labor (hours) <br />Material (cost) — <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 />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): Cost:$ <br />Charge Account Num er: ---Charge Cost To (Name): <br />Address: <br />Invoice No.: — <br />I• ves <br />nt:$ <br />