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� <br />• ` CITY OF EVERETT q��� <br />DEPARTMENTOF PUBLIC WORKS �� � ��'�- �`TlJ <br />i UTlLITY WORK ORDER <br />Date: � �3� �WATER <br />❑ SEWER <br />❑ STOFIM <br />Location: <br />— �� <br />UTILITIES DIVISION <br />-, � <br />j l�� "i-,:� <br />� <br />❑ SERVICE <br />�MAI�I <br />❑ PUMP STATION <br />❑ TREA7MENT <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCN BASIN <br />❑ DITCH <br />W.O. No. <br />A��t. No..�J�—���J <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />�REPAIR <br />❑ CONSTRUCTION <br />i <br />/ <br />W.O. Instructions: �a/�� � // �� �%/9��� _ <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cosl) <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING RE�I;ESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITcMIZE <br />�ABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): � —� Cost:3 � <br />Charge Account Number. Charge Cost To (Name): <br />Addressc ' Zip, _ <br />Invoice No.: AmounL•S _Date: _ <br />