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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: I ' % ( d WATER <br />ff <br />SERVICE <br />❑ SEWER <br />❑ <br />MAIN <br />❑ STORM <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />O <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />Location: &1'4 <br />Ale <br />ESTIMATED <br />ACTUAL <br />741° <br />W.O. No. <br />Acct. No. _�� —,I <br />I i <br />Complaint No. <br />❑ <br />MAINTENANCE <br />❑ <br />OPERATION <br />(3� <br />REPAIR <br />❑ <br />CONSTRUCTION <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 S�IPS�ITEM�IZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ..,. <br />Completion (Date): _L_7 -7 -f- !� _ Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.:__ <br />1 /85 <br />Charge Cost To (Name): <br />a <br />nt $__ __ Date: <br />