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! <br />CITY OF EVERETT <br />r;_ 4624 <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />W.O. No. <br />Fyt ED y <br />Acct No. s�— <br />Complaint No. —� <br />UTILITY WORK ORDER <br />X WATER <br />❑ SERVICE ❑ <br />MAINTENANCE <br />Date: � <br />�' MAIN ❑ <br />OPERATION <br />❑ SEWER <br />❑ PUMP STATION ❑ <br />REPAIR <br />❑ STORM <br />❑ TREATMENT QS <br />CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Locatiok <br />W.O. Instructions: <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 />D MATERIALS ON REVERSE SIDE. <br />LABOR, EQUIPMENT, AN <br />,� 3 -�� Cost:$ <br />Completion(Date): IAJI I1IGM FulLA— <br />Charge Account Number: o a r V 14 Zip: ^d <br />Address: <br />nt:$ <br />Invoice <br />