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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS �yyci yin//c 5453 <br />UTILITY WORK ORDER <br />Date: i'/ WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O.Instri <br />ESTIMATED <br />UTILITIES DIVISION <br />`-f�f SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATtIENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />ACTUAI <br />W.O. No <br />ACct. No. (, 72 11 / <br />Complaint No. <br />❑ <br />MAINTENANCE <br />❑ <br />OPERATION <br />`/ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />Labor (hours) <br />Labor (hours) <br />Material (cost) <br />Material (cost) _ <br />Equipment (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 />Complotion(Date)-: Cost:S_ <br />fCharge AcdountANumber. ._ Charge Cost To (Name): <br />Address: <br />Invoice No.: AmountS Date: <br />i <br />