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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: � -` �� � -� � �NATER <br />❑ SEWER <br />❑ STOR��1 <br />Location: <br />W.O. Instructions �'•_� �t �! <br />„ /, : . �g� FS// � <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipmant (cost) : <br />, : 7443 <br />UTILlTIES DIVISION � <br />�q--� W.O. No. <br />, <br />"�' ��Acct. No. L 7` 1 I�I <br />� > �' L � � j _ �_`' -` <br />✓/�ir u Complaint No. <br />� r, r <br />n '� <br />� SCRVICE "Q/', MAINTENANCE <br />❑ MAIN � � � OPERATION <br />❑ PUMP STATION - ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIF <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />*.� ` S . � <br />L <br />'� <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED - - � <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SL'IP . IT�I�E <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �_„� t� <br />Completion (Date): �' ` � ` Cost:S <br />Charge Account Number: <br />Address: <br />Invoice <br />ties <br />Charge Cost To (Name): <br />m <br />ate: <br />