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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: _ .L� ��_ ,p' WATER <br />❑ SEWER <br />❑ STORM <br />Location: 4 { (31 <br />W.O. Instructions: / c f, <br />SERVICE <br />.2/ <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 />W.O. No. <br />Acct. No. I t <br />Complaint No. <br />C?" <br />MAINTENANCE <br />O <br />OPERATION <br />❑ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />ESTIMATED ACTUAL 7 /� S <br />Labor (hours) Labor (hours) <br />Material (cost) Material (cost) _ <br />Equipment (cost) 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): LQ _�/ 8 '? Cost:$ <br />Charge Account Number: _Charge Cost To (Name): _ <br />Address: _ —Zip <br />Invoice No.: Amount:$ Date: <br />as <br />8903 <br />