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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />W.O. No. <br />..:� c��� <br />S�_ L,a -5 Acct. No. 4� 7's II / <br />��}�i PosTg.n �i- 1 U Mtl�mplaint No. <br />UTILITY WORK OROER <br />Date: ����3'S9 p� WATER O' SERVICE �MAINTENANCE <br />❑ SEWFR ❑ MAIN O OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />�ocation: �� U 7 �Q �%) U T� <br />W.O.Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cosij : <br />SCHEDULING REOUESTED <br />ACTUAL <br />Labor(hours) <br />Naterial (cosl) <br />Equipment (cost) <br />USE CHARGE ACCOJNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date�: � Z — Zv �cJ�—Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.:_ <br />iias <br />Charge Cost To (Name): <br />nt:5 <br />Date: <br />