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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />4j89 PoSTr� +-TuMrnS <br />UTILITY�W�OoRvK ORDER <br />Date: WATI? tR N-114 <br />❑ SEWER <br />❑ STORM <br />SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />• <br />W.O. No. <br />Acct No. I--7 ti <br />li <br />Complaint No. <br />q MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Location <br />• / • Lam.► <br />W.O. Instrictions: <br />..i..: �� ✓ /� <br />u�TLI1 <br />Labor (hours) <br />Material (cost) <br />t:nuinment (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. IZEMy\ <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. \\ <br />Completion (Date): �;E Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: — <br />vas <br />Charge Cost To (Name): <br />nt: <br />7572 <br />p: <br />ate: <br />